Individual
MARY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
900 N ORANGE ST, SUITE 301, MISSOULA, MT 59802-2998
(406) 327-3362
(406) 327-3346
Mailing address
900 N ORANGE ST, SUITE 301, MISSOULA, MT 59802-2998
(406) 327-3362
(406) 327-3346
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
156
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0252772
—
MT
Enumeration date
11/16/2006
Last updated
07/08/2007
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