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Individual

BRYAN WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CADC

Contact information

Practice address
311 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3407
(501) 623-3477
(501) 624-7498
Mailing address
311 WHITTINGTON AVE, HOT SPRINGS, AR 71901-3407
(501) 623-3477
(501) 624-7498

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1481
AR
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/05/2013
Last updated
08/19/2013
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