White, Renee L

White, Renee L is an sole proprietor health care provider with primary practice located at 1565 Northern Ave #3, Kingman AZ 86409-2481. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. White, Renee L can be contacted via phone (928) 757-8589.

Contact Information

Primary practice address
1565 Northern Ave #3 Kingman AZ 86409-2481
Fax: (928) 757-0744
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LCSW10131 Arizona

Profile Details

NPI number 1801927991
LBN Legal business name White, Renee L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1801927991 NPPES
Arizona Other 113485 VALUE OPTIONS

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