Individual
HEIDI ROSE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5904 E BANNISTER RD, KANSAS CITY, MO 64134-1141
(162) 994-7928
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016042029
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016042029
LPC
MO
Enumeration date
09/10/2018
Last updated
09/13/2021
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