Individual provider · Type 1 NPI

Kenneth Wayne White

Addiction (Substance Use Disorder) Counselor · Waldorf, MD

NPI number 1225868292 Active

Practice location

11100 Billingsley Rd
Waldorf, MD 20602-3400

Call (240) 754-6118 Map

Fax (301) 861-0117

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225868292

Kenneth Wayne White's National Provider Identifier is 1225868292, issued on Aug 5, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waldorf, MD. The record was last updated on Aug 5, 2024.