Individual
SHAWN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
1143 FAIRWAY STREET, STE 103, BOWLING GREEN, KY 42103-2452
(407) 347-4536
(812) 285-8392
Mailing address
1143 FAIRWAY STREET, STE 103, BOWLING GREEN, KY 42103-2452
(407) 347-4536
(812) 285-8392
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
264171
KY
Other
Enumeration date
03/16/2018
Last updated
01/18/2024
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