SearchMissouri101YP2500X

Kelley White

NPI 1043336589 · on the registry since 2007 · sole proprietor

Practice

Address
104 W Jackson St
B
Bolivar, MO 65613
Phone
(417) 777-1458
Organisation at this address
Grainger Counseling Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri