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Individual

CHRISTOPHER J WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0152691
NM
103TC0700X
Clinical Psychologist
Primary
PSY.0005707
CO

Other

Enumeration date
10/12/2011
Last updated
04/29/2022
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