person
Keith Douglas White
Addiction (Substance Use Disorder) Counselor in Lakewood, Ohio
NPI 1518475268

Keith Douglas White is an Addiction (Substance Use Disorder) Counselor based in Lakewood, OH and is specialized in Addiction (Substance Use Disorder). Keith Douglas White practices in Lakewood, OH. The NPI Number for Keith Douglas White is 1518475268 and holds a License No. RN960110 (Ohio).

The current practice location address for Keith Douglas White is 12050 Lake Ave Apt 504, Lakewood, OH and can be reached out via phone at 216-231-3772 and via fax at 216-231-3772.

Location: 12050 Lake Ave Apt 504, Lakewood, OH, 44107-1872
person
Provider Profile Details
NPI Number
1518475268
Provider Name
Keith Douglas White
Credential
Provider Entity Type
Individual
Gender
Male
Address
12050 Lake Ave Apt 504, Lakewood, OH, 44107-1872
Phone Number
216-231-3772
Fax Number
216-231-3772
Provider Enumeration Date
01/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12050 Lake Ave Apt 504
City
State
Zip
44107-1872
Phone Number
216-231-3772
Fax Number
216-231-3772
person
Provider Business Mailing Address Details
Address
12050 Lake Ave Apt 504
City
State
Zip
44107-1872
Phone Number
216-231-3772
Fax Number
216-231-3772
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
RN960110 (Ohio)
Definition
Definition to come...
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