Provider Demographics
NPI:1013694900
Name:WHITE, KRISTIN JONES (CADC-I)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:JONES
Last Name:WHITE
Suffix:
Gender:F
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 PAVILLON PL
Mailing Address - Street 2:
Mailing Address - City:MILL SPRING
Mailing Address - State:NC
Mailing Address - Zip Code:28756-5809
Mailing Address - Country:US
Mailing Address - Phone:828-694-2300
Mailing Address - Fax:
Practice Address - Street 1:241 PAVILLON PL
Practice Address - Street 2:
Practice Address - City:MILL SPRING
Practice Address - State:NC
Practice Address - Zip Code:28756-5809
Practice Address - Country:US
Practice Address - Phone:828-429-5544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)