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Individual

DESTINY NICHOLE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LPC/MHSP

Contact information

Practice address
1400 N 6TH AVE, KNOXVILLE, TN 37917-6043
(865) 243-4360
Mailing address
1400 N 6TH AVE, KNOXVILLE, TN 37917-6043
(865) 243-4360

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4699
TN
101YM0800X
Mental Health Counselor

Other

Enumeration date
01/21/2016
Last updated
04/05/2023
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