Keith Douglas White
Keith Douglas White is an Addiction (Substance Use Disorder) Counselor in Lakewood, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2018
Practice location Address checks out
12050 Lake Ave Apt 504Lakewood, OH 44107-1872
Phone: (216) 231-3772
Fax: (216) 231-3772
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence RN960110 (OH) |
|---|
Record details
| NPI number | 1518475268 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 16, 2018 |
| Last updated in NPPES | January 16, 2018 |
| Mailing address | 12050 Lake Ave Apt 504, Lakewood, OH 44107-1872 |
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