Individual
TIMOTHY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TCADC
Contact information
Practice address
8311 PRESTON HWY, LOUISVILLE, KY 40219-5309
(502) 964-7147
(502) 964-2242
Mailing address
8311 PRESTON HWY, LOUISVILLE, KY 40219-5309
(502) 964-7147
(502) 964-2242
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
170586
KY
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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