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Individual

LISA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
103 E SOUTH ST, MUNFORDVILLE, KY 42765-9023
(270) 696-3181
Mailing address
18 H MILLER RD, GLASGOW, KY 42141-9436

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
287300
KY
101YP2500X
Professional Counselor
Primary
306062
KY
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
09/21/2021
Last updated
04/24/2026
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