Individual
KATHY JEAN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC OR NCAC I
Contact information
Practice address
1238 MAIN ST STE 4, STURGIS, SD 57785-1540
(605) 720-8090
(605) 720-8090
Mailing address
1238 MAIN ST STE 4, STURGIS, SD 57785-1540
(605) 720-8090
(605) 720-8090
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
9807996
SD
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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