Individual
WENDY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3288 E PINE AVE, MERIDIAN, ID 83642-5922
(208) 888-8886
Mailing address
12336 W BOWMONT ST, BOISE, ID 83713-0021
(208) 861-7458
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-8924
ID
Other
Enumeration date
08/07/2022
Last updated
08/07/2022
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