White, Kristi Renee
White, Kristi Renee is an individual health care provider with primary practice located at 423 N Market St , Maryville MO 64468. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Kristi Renee can be contacted via phone (660) 562-3000.Contact Information
Primary practice address
423 N Market St
Maryville MO 64468
Phone: (660) 562-3000
Fax: (660) 562-3002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2012003645 | Missouri |
Profile Details
| NPI number | 1629336177 |
|---|---|
| LBN Legal business name | White, Kristi Renee |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2012 |
| Last updated | Aug 22nd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629336177 | NPPES |
| Missouri | MEDICAID | 1629336177 |
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