Organization
KRYSTINA M. WHITE, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTINA WHITE LICSW (OWNER)
(256) 975-1023
Entity
Organization
Contact information
Practice address
11 HUGHES RD STE 202, MADISON, AL 35758-3037
(256) 694-3856
Mailing address
23884 WALES ST, ELKMONT, AL 35620-3857
(256) 975-1023
(256) 910-0846
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
09/25/2024
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