Individual provider · Type 1 NPI

Kerry Donovan White

Mental Health Counselor · Thousand Oaks, CA

NPI number 1063285252 Active

Practice location

223 E Thousand Oaks Blvd Ste 103
Thousand Oaks, CA 91360-7706

Mailing address

1396 Sheffield Pl
Thousand Oaks, CA 91360-5242

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063285252

Kerry Donovan White's National Provider Identifier is 1063285252, issued on Oct 31, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Thousand Oaks, CA. The record was last updated on Oct 31, 2023.