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Keonderick A. White
Counselor in Springfield, Massachusetts
NPI 1043854573

Keonderick A. White is a Counselor based in Springfield, MA. Keonderick A. White practices in Springfield, MA. The NPI Number for Keonderick A. White is 1043854573 and holds a License No. (Massachusetts).

The current practice location address for Keonderick A. White is 417 Liberty St, Springfield, MA and can be reached out via phone at 413-733-6661 and via fax at 413-733-7841.

Location: 417 Liberty St, Springfield, MA, 01104-3736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043854573
Provider Name
Keonderick A. White
Credential
Provider Entity Type
Individual
Gender
Male
Address
417 Liberty St, Springfield, MA, 01104-3736
Phone Number
413-733-6661
Fax Number
413-733-7841
Provider Enumeration Date
10/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
417 Liberty St
City
Springfield
State
Massachusetts
Zip
01104-3736
Phone Number
413-733-6661
Fax Number
413-733-7841
person
Provider Business Mailing Address Details
Address
417 Liberty St
City
Springfield
State
Massachusetts
Zip
01104-3736
Phone Number
413-733-6661
Fax Number
413-733-7841
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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