White, Judith A

White, Judith A is an sole proprietor health care provider with primary practice located at 1011 W Maple St , Kalamazoo MI 49008. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. White, Judith A can be contacted via phone (269) 353-7607.

Contact Information

Primary practice address
1011 W Maple St Kalamazoo MI 49008
Phone: (269) 353-7607
Fax: (269) 888-2260
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 6401005003 Michigan
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301008661 Michigan
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6301008661 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401005003 Michigan

Profile Details

NPI number 1295806339
LBN Legal business name White, Judith A
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2006
Last updated May 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295806339 NPPES
Michigan Other 2029602 CIGNA BEHAVIORAL HEALTH
Michigan Other 0895250 CIGNA BEHAVIORAL HEALTH
Michigan Other 0C91775 CIGNA BEHAVIORAL HEALTH
Michigan Other 127-089 CIGNA BEHAVIORAL HEALTH

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