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Individual

MR. KEITH ALAN WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA.LPC / LCPC

Contact information

Practice address
12505 GRANDVIEW RD, GRANDVIEW, MO 64030
(816) 765-8211
(816) 765-8215
Mailing address
12505 GRANDVIEW RD, GRANDVIEW, MO 64030-1703
(816) 765-8211
(816) 765-8215

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001013216
MO

Other

Enumeration date
02/07/2007
Last updated
12/01/2011
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