Individual
MR. KEVIN KYLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMHC
Contact information
Practice address
6000 S 1075 E, SOUTH OGDEN, UT 84405-4945
(801) 479-7035
(801) 479-9268
Mailing address
2337 CUSTER AVE, OGDEN, UT 84401-1929
(385) 288-9794
(801) 479-9268
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10086515-6004
UT
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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