Individual
KRISTIN K WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 NE HWY 54, GUYMON, OK 73942-1247
(580) 338-5851
Mailing address
202639 E COUNTY ROAD 42, WOODWARD, OK 73801-5442
(580) 254-5322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13234
OK
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/15/2023
Last updated
02/04/2026
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