Individual
MS. WANDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/COUNSELOR
Contact information
Practice address
530 HORNADY DR, MONROEVILLE, AL 36460-8658
(251) 575-4837
(251) 575-5266
Mailing address
2511 COUNTY ROAD 5, REPTON, AL 36475-8910
(251) 743-4250
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1943
AL
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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