Individual
GAY LYN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
431 W 600 N, TREMONTON, UT 84337-2411
(435) 730-3888
(435) 257-5436
Mailing address
431 W 600 N, TREMONTON, UT 84337-2411
(435) 730-3888
(435) 257-5436
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5811058-6004
UT
Other
Enumeration date
02/03/2007
Last updated
07/08/2007
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