Individual
MR. JOHN PATRICK WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
200 JARVIS ST, BARBOURVILLE, KY 40906-1638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
174554
KY
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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