Individual
KELLY ANTOINETTE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC-P
Contact information
Practice address
17321 TELEGRAPH RD, DETROIT, MI 48219-3132
(313) 531-2500
Mailing address
29306 WAGNER DR, WARREN, MI 48093-8629
(716) 392-7557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
06/09/2025
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