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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KALEB SHANE WHITWORTH, LPCA

Active Sole Proprietor

KALEB SHANE WHITWORTH, LPCA is a Mental Health Counselor healthcare provider located in PORTLAND, Tennessee. NPI 1770158990 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PORTLAND, TN

Registration Details

NPI Number
1770158990
Provider Type
Individual
Gender
Male
NPI Issued
May 20, 2021 (5.1968038777835 yrs)
Last Updated
May 20, 2021
License
246270
Sole Proprietor
Yes

Practice Information

Address
736 WHITE RD
PORTLAND, TN, 371485040
Browse TN providers · Browse ZIP 37148
Phone
6155161610
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PORTLAND, TN

Name Credential NPI
JUANITA M KISSELL MA, LPC, NCC, CCMHC 1265741805
ALYSSA FERNANDEZ 1457766537
ELIZABETH HARRINGTON 1376355701
BRIANNA KRISTINE MARTIN 1811786312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.