Individual
DERIK J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AAPS
Contact information
Practice address
940 N WACO AVE, WICHITA, KS 67203-3947
(316) 660-7550
(316) 383-8241
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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