Individual
LISA LARAE WHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHT
Contact information
Practice address
240 HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Mailing address
240 HUMAHUACA ST, PAHRUMP, NV 89048-2199
(775) 751-7406
(775) 751-7409
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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