White, Brenda K.

White, Brenda K. is an sole proprietor health care provider with primary practice located at 402 W Boughton Rd Suite G, Bolingbrook IL 60440-1872. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. White, Brenda K. can be contacted via phone (312) 971-6653.

Contact Information

Primary practice address
402 W Boughton Rd Suite G Bolingbrook IL 60440-1872
Phone: (312) 971-6653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180.009144 Illinois

Profile Details

NPI number 1134457476
LBN Legal business name White, Brenda K.
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2009
Last updated Oct 1st, 2015 - about 11 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 1134457476 NPPES
Illinois Other 180.009144 STATE OF ILLINOIS - LCPC

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