Provider Demographics
NPI:1144042326
Name:WHITE, KENDRA SADIA (LPC)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:SADIA
Last Name:WHITE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 CANE RIDGE RD APT 703
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-5225
Mailing Address - Country:US
Mailing Address - Phone:919-901-2384
Mailing Address - Fax:
Practice Address - Street 1:5350 CANE RIDGE RD APT 703
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-5225
Practice Address - Country:US
Practice Address - Phone:919-901-2384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional