Individual
CHRISTINE NICOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N. CAPTITAL AVE STE 1, IDAHO FALLS, ID 83402
(208) 552-0855
Mailing address
855 N. CAPTITAL AVE SUITE 2, IDAHO FALLS, ID 83401
(208) 552-0855
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7250
ID
Other
Enumeration date
11/07/2019
Last updated
11/12/2025
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