Individual
ALYSSSA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Mailing address
32100 TELEGRAPH RD, BINGHAM FARMS, MI 48025-2452
(248) 712-4266
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6451024624
MI
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
09/16/2019
Last updated
10/23/2025
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