Individual
DR. DEBORAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., PH.D., LPC
Contact information
Practice address
3838 NW 36TH ST, SUITE 200, OKLAHOMA CITY, OK 73112-2970
(804) 691-6490
Mailing address
PO BOX 891265, OKLAHOMA CITY, OK 73189-1265
(804) 691-6490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1933
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
OK
Enumeration date
07/27/2015
Last updated
07/27/2015
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