Individual
MORIAH GOMEZ WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
2333 NORTHWESTERN AVE, RACINE, WI 53404-2520
(262) 652-2406
Mailing address
6233 39TH AVE, KENOSHA, WI 53142-7015
(262) 654-1004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7317
WI
101YP2500X
Professional Counselor
Primary
11872
WI
Other
Enumeration date
04/07/2023
Last updated
06/25/2025
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