| Doctor Name: | KRISTI RENEE WHITE |
| NPI Number: | 1629336177 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.S.W. |
| License Number: | 2012003645 |
| Business Practice Address: | 1303 State St Mound City, MO - 644701717 |
| Business Phone Number: | 6604425464 |
| Business Fax Number: | 6604425927 |
| Mailing Address: | 2303 Village Dr, SAINT JOSEPH |
| State: | MO |
| Postal Code: | 645064954 |
| Phone Number: | 8162718219 |
| Fax Number: | 8162322696 |
| NPI Enumeration Date: | 05/02/2012 |
| NPI Last Update Date: | 05/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2012003645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |