Provider Demographics
NPI:1679749824
Name:WHITE, KRISTEN KAY (MA)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:KAY
Last Name:WHITE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 EASTBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8385
Mailing Address - Country:US
Mailing Address - Phone:904-253-5026
Mailing Address - Fax:
Practice Address - Street 1:2050 EASTBROOK CIR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8385
Practice Address - Country:US
Practice Address - Phone:904-253-5026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist