Individual
TERESA KAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
505 ASH ST, SUMMIT, SD 57266-2115
(605) 398-6337
(605) 398-5337
Mailing address
PO BOX 802, SUMMIT, SD 57266-0802
(605) 398-6337
(605) 398-5337
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12091534
SD
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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