Individual
ALISA D WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4614 PROSPECT AVE, CLEVELAND, OH 44103-4394
(216) 308-2231
Mailing address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 639-3540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
08/07/2018
Last updated
07/21/2020
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