Individual
JOHN MICHAEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSW, MBA
Contact information
Practice address
16616 BONHAM AVE, BATON ROUGE, LA 70816-3315
(318) 418-1866
Mailing address
16616 BONHAM AVE, BATON ROUGE, LA 70816-3315
(318) 418-1866
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
16284
LA
Other
Enumeration date
02/10/2016
Last updated
09/05/2023
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