Individual
MRS. KATHLYN CAMPBELL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
4400 E HIGHWAY 20, SUITE 306, NICEVILLE, FL 32578-8779
(850) 897-7810
(850) 897-0032
Mailing address
PO BOX 5383, NICEVILLE, FL 32578-5383
(850) 897-7810
(850) 897-0032
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH6265
FL
106H00000X
Marriage & Family Therapist
Primary
MT2301
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177561
CIGNA
FL
01
—
7153709
AETNA
FL
01
—
Z0741
BCBS ID
FL
Enumeration date
05/12/2006
Last updated
08/19/2024
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