Individual provider · Type 1 NPI

Kelly Dawn White

Addiction (Substance Use Disorder) Counselor · Lorain, OH

NPI number 1649936097 Active

Practice location

2115 W Park Dr
Lorain, OH 44053-1138

Mailing address

1712 E 31st St
Lorain, OH 44055-1720

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 1649936097

Kelly Dawn White's National Provider Identifier is 1649936097, issued on Nov 10, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lorain, OH. The record was last updated on Jul 27, 2026.