Leo White

NPI #1750660205 in Jackson, Kentucky

Provider Information

NPI Number
1750660205
Entity Type
Individual
Name
Leo White
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Aug 15, 2011
Last Updated
Aug 15, 2011

Practice Location

Address
3830 HIGHWAY 15 S
ZIP Code
41339-8675
Phone
(606) 666-7591

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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