Individual
KIERSTEN MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 SW HOLLYWOOD DR APT 110, LEES SUMMIT, MO 64082-6105
(816) 695-4249
Mailing address
3304 GATEWAY DR, INDEPENDENCE, MO 64057-3328
(816) 509-9677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MO
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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