Kaleb Shane Whitworth, LPCA
Kaleb Shane Whitworth, LPCA is a Mental Health Counselor in Portland, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
736 White RdPortland, TN 37148-5040
Phone: (615) 516-1610
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 246270 |
|---|
Record details
| NPI number | 1770158990 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LPCA |
| Sole proprietor | Yes |
| NPI enumerated | May 20, 2021 |
| Last updated in NPPES | May 20, 2021 |
| Certification date | May 20, 2021 |
| Mailing address | 736 White Rd, Portland, TN 37148-5040 |
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