Individual
DAVID OWEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
1000 EDGEWATER PT, LAKE SAINT LOUIS, MO 63367-2954
(636) 442-2612
(636) 265-2905
Mailing address
27 VIENNA WOODS DR, ELDON, MO 65026-4627
(806) 753-7068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2021014868
MO
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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