Individual
SHANICE N WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-S, NCC
Contact information
Practice address
4038 GLENNOAK DR, BYRAM, MS 39272-9384
(601) 613-6268
Mailing address
4038 GLENNOAK DR, BYRAM, MS 39272-9384
(601) 613-6268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1877
MS
101Y00000X
Counselor
LPC011614
GA
101YM0800X
Mental Health Counselor
Primary
2737
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003508069
—
MS
Enumeration date
01/18/2013
Last updated
06/20/2022
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