Individual
DR. KELLY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LPC, CCTP
Contact information
Practice address
44 COOPER ST STE 109, WOODBURY, NJ 08096-4642
(856) 404-2248
(856) 494-1345
Mailing address
44 COOPER ST STE 109, WOODBURY, NJ 08096-4642
(856) 404-2248
(856) 494-1345
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37AC00466000
NJ
101YP2500X
Professional Counselor
Primary
37PC00776700
NJ
Other
Enumeration date
01/30/2020
Last updated
08/17/2021
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