Individual
MRS. TANYA B WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMHC
Contact information
Practice address
1045 FREEBOARD BLVD, PENSACOLA, FL 32507-7969
(850) 390-2052
Mailing address
1551 DOG TRACK RD, PENSACOLA, FL 32506-8285
(850) 390-2052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
MH12137
FL
Other
Enumeration date
02/13/2009
Last updated
10/26/2015
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