Individual provider · Type 1 NPI

Kailaan Jael White

Mental Health Counselor · Moncks Corner, SC

NPI number 1245073683 Active

Practice location

403 Stony Landing Rd
Moncks Corner, SC 29461-3967

Fax (843) 761-7308

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1245073683

Kailaan Jael White's National Provider Identifier is 1245073683, issued on Jun 14, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Moncks Corner, SC. The record was last updated on Jun 14, 2024.