| Doctor Name: | KATHLEEN M WHITE |
| NPI Number: | 1649355579 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LPC, LCDC, LMF |
| License Number: | 7314 |
| Business Practice Address: | 1201 Pat Booker Rd. Universal City, TX - 78148 |
| Business Phone Number: | 2106587337 |
| Business Fax Number: | 2106587367 |
| Mailing Address: | P. O. Box 2517, UNVIERSAL CITY |
| State: | TX |
| Postal Code: | 78148 |
| Phone Number: | 2106587337 |
| Fax Number: | 2106587367 |
| NPI Enumeration Date: | 10/26/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 7314 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |