Individual
KELLY H WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.ED, LPC, NCC
Contact information
Practice address
201 W LEAKE ST STE 3, CLINTON, MS 39056-4253
(318) 278-7904
Mailing address
PO BOX 534, CLINTON, MS 39060-0534
(318) 278-7904
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2599
MS
101YP2500X
Professional Counselor
5580
LA
Other
Enumeration date
12/10/2015
Last updated
08/23/2023
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