Individual
MRS. DOMINECAA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
45 E MONTEREY WAY STE 201, PHOENIX, AZ 85012-2757
(480) 489-2866
Mailing address
45 E MONTEREY WAY STE 201, PHOENIX, AZ 85012-2757
(480) 489-2866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-15553
AZ
Other
Enumeration date
07/28/2021
Last updated
09/01/2023
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