Individual
KENDRIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LIMHP
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(850) 960-6580
Mailing address
PO BOX 25525, PRESCOTT VALLEY, AZ 86312-5525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3545
NE
1041C0700X
Clinical Social Worker
Primary
2317
NE
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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