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NPI Code Detail

MEDICARE: KASHUN L. B. WHITE

MEDICARE:   KASHUN L. B. WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor10135SC

General Provider Information

NPI Number : 1639419641
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASHUN L. B. WHITE
Provider Business Mailing Address
First Line : 4464 DEVINE ST. STE M #1387
Second Line :
City : COLUMBIA
State : SC
Zip : 29205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2000 CENTER POINT RD STE 2350
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-5826
Country : US
Telephone Number : 803-338-3739
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2013
Last Update Date : 10/30/2024

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Directions to “ KASHUN L. B. WHITE ” Practice Location

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