Individual
DERRICK WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
855 S GERMAN LN STE 1, CONWAY, AR 72034-6479
(501) 358-6606
(501) 491-0039
Mailing address
1820 S SALEM RD APT 3, CONWAY, AR 72034-8565
(501) 908-7448
(501) 204-8612
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1905056
AR
Other
Enumeration date
05/04/2016
Last updated
05/04/2023
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