Individual
HEATHER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHT
Contact information
Practice address
302 COURTHOUSE RD, GULFPORT, MS 39507-1890
(228) 897-7465
Mailing address
860 E RIVER PL STE 100, JACKSON, MS 39202-3442
(228) 897-7465
(228) 897-7467
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
11966
LA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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