Individual
AMANDA SUMER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
525 COMMERCE ST, LAUREL, MS 39440-3954
(601) 606-8908
Mailing address
872 MORRISTON RD, PETAL, MS 39465-5202
(601) 606-8908
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P-1034
MS
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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