Individual
EDWARD WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
5555 ERINDALE DR, SUITE 204, COLORADO SPRINGS, CO 80918-6736
(719) 686-4635
Mailing address
5555 ERINDALE DR, SUITE 204, COLORADO SPRINGS, CO 80918-6736
(719) 686-4635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC0014070
CO
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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