Individual
MR. ETOYA RAYNELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9666 OLIVE BLVD STE 2059666, SAINT LOUIS, MO 63132-3013
(314) 390-8107
Mailing address
9666 OLIVE BLVD STE 205, SAINT LOUIS, MO 63132-3025
(314) 390-8107
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
05/12/2021
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