Individual
LESLIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7418 E HELM DR STE 118, SCOTTSDALE, AZ 85260-2418
(623) 521-9973
Mailing address
7418 E HELM DR STE 118, SCOTTSDALE, AZ 85260-2418
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11419
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LISAC #11419
STATE LICENSURE NUMBER
AZ
Enumeration date
06/12/2009
Last updated
06/12/2009
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