Individual
DEENA LORAINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW AND IADC
Contact information
Practice address
5005 BOWLING ST SW STE C, CEDAR RAPIDS, IA 52404-5070
(319) 531-3824
(319) 531-3840
Mailing address
3491 QUAIL TRAIL CT, MARION, IA 52302-9567
(319) 310-0885
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11009
IA
1041C0700X
Clinical Social Worker
007920
IA
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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