Individual
MATINAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 HAMPTON AVE STE 200, SAINT LOUIS, MO 63139-3163
(314) 461-0226
Mailing address
220 THOROUGHMAN AVE, SAINT LOUIS, MO 63135-1673
(314) 813-8232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/25/2023
Last updated
06/28/2024
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