Individual provider · Type 1 NPI

Kelley White

Professional Counselor · Bolivar, MO

NPI number 1043336589 Active

Practice location

104 W Jackson St, B
Bolivar, MO 65613-1902

Call (417) 777-1458 Map

Mailing address

4733 S Robberson Ave, Apt. 101 H
Springfield, MO 65810-1786

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2005038988 (MO)

Professional Counselor: Definition to come...

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About NPI 1043336589

Kelley White's National Provider Identifier is 1043336589, issued on Mar 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bolivar, MO. The record was last updated on Jul 8, 2007.