Individual
KATHLEEN M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC
Contact information
Practice address
125 MAIN ST RM 604, BRADFORD, PA 16701-2058
(814) 598-7053
Mailing address
6 BROOKSIDE DR, BRADFORD, PA 16701-3801
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC009933
PA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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