Provider Demographics
NPI:1871733758
Name:WHISENHUNT, STEVE K (LICDC)
Entity type:Individual
Prefix:
First Name:STEVE
Middle Name:K
Last Name:WHISENHUNT
Suffix:
Gender:M
Credentials:LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 292012
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45429-0012
Mailing Address - Country:US
Mailing Address - Phone:937-760-2441
Mailing Address - Fax:937-760-2441
Practice Address - Street 1:3560 MARSHALL RD
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-4916
Practice Address - Country:US
Practice Address - Phone:937-760-2441
Practice Address - Fax:937-760-2441
Is Sole Proprietor?:No
Enumeration Date:2009-03-04
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH913119101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)