Individual
CYNTHIA L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2356 FOX RD STE 300, SANTA FE, NM 87507-7294
(505) 927-2052
Mailing address
PO BOX 401, TESUQUE, NM 87574-0401
(505) 927-2052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CTB-2022-0823
NM
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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