Individual
GAYLIAN ANTHONY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20051 OLD SENIC HWY, APT 2605, ZACHARY, LA 70791
(937) 265-0838
Mailing address
20051 OLD SENIC HWY APT 2506, ZACHARY, LA 70791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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