Individual
CLINTON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2527 MCGILL ST # 202, PIGEON FORGE, TN 37863-4263
(865) 830-6792
Mailing address
PO BOX 4038, SEVIERVILLE, TN 37864-4038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4392
TN
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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