Individual
EDDIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-1740
(337) 491-1741
Mailing address
2706 HODGES ST, LAKE CHARLES, LA 70601-7366
(337) 491-1740
(337) 491-1741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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