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Moriah Gomez White, LPC-IT
Counselor in Kenosha, Wisconsin
NPI 1154016046

Moriah Gomez White is a Counselor based in Kenosha, WI. Moriah Gomez White practices in Kenosha, WI and has the professional credentials of LPC-IT. The NPI Number for Moriah Gomez White is 1154016046 and holds a License No. 7317 (Wisconsin).

The current practice location address for Moriah Gomez White is 2108 63Rd St, Kenosha, WI and can be reached out via phone at 262-652-2406.

Location: 2108 63Rd St, Kenosha, WI, 53142-7015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154016046
Provider Name
Moriah Gomez White
Credential
LPC-IT
Provider Entity Type
Individual
Gender
Female
Address
2108 63Rd St, Kenosha, WI, 53142-7015
Phone Number
262-652-2406
Fax Number
Provider Enumeration Date
04/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2108 63Rd St
City
Kenosha
State
Wisconsin
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
person
Provider Business Mailing Address Details
Address
2108 63Rd St
City
Kenosha
State
Wisconsin
Zip
53143-4454
Phone Number
262-652-2406
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
7317 (Wisconsin)
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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