Individual
STEPHEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
(405) 275-5132
Mailing address
1010 E 45TH ST, SHAWNEE, OK 74804-2202
(405) 273-1170
(405) 275-5132
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
213
OK
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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