Individual
MRS. SARA HELEN MCKEOWN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1300 ARROWHEAD PLAZA WAY, DRIGGS, ID 83422
(803) 320-3420
Mailing address
PO BOX 1450, DRIGGS, ID 83422-0010
(803) 320-3420
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-6331
ID
101YP2500X
Professional Counselor
LPC-4927
ID
Other
Enumeration date
09/05/2013
Last updated
03/02/2017
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