Provider Demographics
NPI:1730521238
Name:REEHM, WHITNEY (MS LMFT)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:REEHM
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:DIBBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:820 S PINE ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2764
Mailing Address - Country:US
Mailing Address - Phone:206-714-2608
Mailing Address - Fax:
Practice Address - Street 1:437 29TH ST NE STE F
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372
Practice Address - Country:US
Practice Address - Phone:253-330-7204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2019-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF89641106H00000X
WALF60618992106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist