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Individual
PETER WHITE
Active
Individual
PETER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
574
KY
101Y00000X
Counselor
Primary
E.0003691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
184607
MEDICARE GROUP NUMBER
KY
Enumeration date
07/06/2006
Last updated
04/20/2015
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