Individual
MICHELE JACQUELINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7580 160TH ST W, LAKEVILLE, MN 55044-8348
(952) 898-1133
(952) 435-6797
Mailing address
2601 JOHNSON ST. N.E., MPLS, MN 55418
(612) 916-8819
(651) 407-3751
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
2411
MN
Other
Enumeration date
10/23/2012
Last updated
10/26/2017
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