Individual
KYLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
56 ARBOR ST STE 106, HARTFORD, CT 06106-1223
(860) 930-6745
Mailing address
56 ARBOR ST STE 106, HARTFORD, CT 06106-1223
(860) 930-6745
(860) 967-0343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2978
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008068845
—
CT
Enumeration date
11/06/2016
Last updated
12/31/2019
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