Individual
LEO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3830 HIGHWAY 15 S, JACKSON, KY 41339-8675
(606) 666-7591
(606) 666-8364
Mailing address
115 ROCKWOOD LN, HAZARD, KY 41701-9415
(606) 436-5761
(606) 435-0817
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/15/2011
Last updated
08/15/2011
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