White, Kathleen
White, Kathleen is an sole proprietor health care provider with primary practice located at 65 N Main St Ste 3 , Rutland VT 05701-3252. 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, Kathleen can be contacted via phone (802) 772-7787.Contact Information
Primary practice address
65 N Main St Ste 3
Rutland VT 05701-3252
Phone: (802) 772-7787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0680000270 | Vermont |
Profile Details
| NPI number | 1033290747 |
|---|---|
| LBN Legal business name | White, Kathleen |
| Credentials | LCMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 8th, 2021 - about 5 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 | 1033290747 | NPPES |
| Vermont | MEDICAID | 1007271 | |
| Vermont | Other | 00029296 |
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