Individual
EDWARD SCOTT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
2150 E BELL RD UNIT 1042, PHOENIX, AZ 85022-2973
(602) 300-8438
Mailing address
2150 E BELL RD UNIT 1042, PHOENIX, AZ 85022-2973
(602) 300-8438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-15091
AZ
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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