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General NPI Number Information
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NPI Number | 1861313900
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Entity Type | Individual
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Provider Name | BRIAN KEITH WHITE LPCA
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Gender | Male
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 764 W COMMERCE ST
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City | FAIRFIELD
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State | TX
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Zip | 75840-1428
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Country | US
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Telephone | 903-329-9270
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Fax |
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Provider Business Mailing Address
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Address Line | 142 FOREST DR
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City | FAIRFIELD
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State | TX
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Zip | 75840-2504
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Country | US
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Telephone | 903-329-9270
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 94427
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License Number State | TX
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