Individual
MRS. SHANNON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1022 E MAIN ST, BENTON HARBOR, MI 49022-3036
(269) 926-0015
Mailing address
47548 M 140 HWY, COVERT, MI 49043-8736
(269) 277-2913
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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