Individual
GARY LEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
725-5 TRAMWAY VISTA LOOP NE, ALBUQUERQUE, NM 87122-1669
(505) 220-4277
Mailing address
725-5 TRAMWAY VISTA LOOP NE, ALBUQUERQUE, NM 87122-1669
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0102561
NM
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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