Individual
MR. CLEVELAND R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1504 BARKSDALE BLVD, BOSSIER CITY, LA 71111-4602
(318) 222-4299
Mailing address
1504 BARKSDALE BLVD, BOSSIER CITY, LA 71111-4602
(318) 222-4299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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