Individual
MRS. TERESA GAIL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. LADC, LPC
Contact information
Practice address
1219 K ST., SUITE 2, ARDMORE, OK 73401-9999
(580) 798-4523
(580) 319-4523
Mailing address
1219 K ST., SUITE 2, ARDMORE, OK 73401-9999
(580) 798-4523
(580) 319-4523
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
957
OK
101YP2500X
Professional Counselor
Primary
5115
OK
104100000X
Social Worker
—
—
Other
Enumeration date
04/09/2007
Last updated
04/10/2015
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