Individual
ALISHA N WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BHRS
Contact information
Practice address
121 E MAIN ST, SUITE 101, DAVIS, OK 73030-1973
(580) 369-5080
(580) 369-2488
Mailing address
PO BOX 91, SULPHUR, OK 73086-0091
(580) 618-2911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200049040Z
—
OK
Enumeration date
03/07/2012
Last updated
03/07/2012
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