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Individual

ELIZABETH WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1610 WOODS CT, HOOD RIVER, OR 97031-2911
(541) 386-2620
Mailing address
419 E 7TH ST STE 207, THE DALLES, OR 97058-2676
(541) 296-5452

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1822
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139670
OR
Enumeration date
06/09/2010
Last updated
06/09/2010
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