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Individual

WHITNEY L KLEINERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1423 WASHINGTON ST STE 212, CLARKESVILLE, GA 30523-5422
(802) 404-2727
Mailing address
230 WILD IRIS LN, CLARKESVILLE, GA 30523-1814
(802) 404-2727

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
4489
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110026265E
MA
Enumeration date
08/03/2017
Last updated
07/07/2025
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