Individual
KRISTIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAS-A
Contact information
Practice address
416 W RIDGE STREET, ROSE HILL, NC 28458
(910) 289-2610
Mailing address
97 NEW RD, BURGAW, NC 28425-3114
(757) 784-2253
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-27383
NC
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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