Individual
IYANNA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25402 PACIFICA AVE, MISSION VIEJO, CA 92691-3854
(949) 238-2400
Mailing address
2026 W BEACON AVE, ANAHEIM, CA 92804-4406
(657) 276-7030
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
04/27/2023
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