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Individual

SHANNON WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCDC

Contact information

Practice address
1216 N CENTRAL EXPY, MCKINNEY, TX 75070-3310
(972) 542-2900
Mailing address
1216 N CENTRAL EXPY, MCKINNEY, TX 75070-3310
(972) 542-2900

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11384
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1508127846
NPPES
Enumeration date
01/02/2018
Last updated
01/02/2018
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