Individual
TED JOSEPH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHP
Contact information
Practice address
8563 S 102ND ST, LA VISTA, NE 68128-3229
(402) 651-8670
Mailing address
1941 S 42ND ST STE 129, OMAHA, NE 68105-2938
(402) 871-9979
(402) 614-9947
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3876
NE
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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