Mckenna Whiteside

NPI #1275260135 in Glen Carbon, Illinois

Provider Information

NPI Number: 1275260135
Entity Type: Individual
Name: Mckenna Whiteside
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Aug 2, 2022
Last Updated: Aug 2, 2022

Practice Location

Address: 88 S MAIN ST
City: Glen Carbon
State: Illinois
ZIP Code: 62034-1415
Phone: (618) 288-8085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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