Individual
JOHN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 E HOWARD ST STE 1, HIBBING, MN 55746-4716
(218) 326-1274
Mailing address
215 SE 2ND AVE, GRAND RAPIDS, MN 55744-3615
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894755400
—
MN
Enumeration date
01/28/2015
Last updated
03/12/2025
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