Individual
NIKKI WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3035 ORCHARD RD SW, CONYERS, GA 30094-3905
(334) 590-3274
Mailing address
4494 DICKSON RD, GREENWOOD, FL 32443-2401
(334) 590-3274
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP1600X
Pastoral Counselor
—
AL
Other
Enumeration date
02/02/2014
Last updated
05/11/2024
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