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Individual

MISS HOLLY AMANDA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1915 AEROTECH DR STE 100, COLORADO SPRINGS, CO 80916-4222
(719) 963-5695
Mailing address
1812 RALPHS RDG APT 206, COLORADO SPRINGS, CO 80910-4407
(706) 621-0313

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0020075
CO

Other

Enumeration date
01/10/2024
Last updated
01/10/2024
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