Individual
LOUISE A WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1011 ALLEN ST, ESTANCIA, NM 87016
(505) 384-0220
Mailing address
PO BOX 518, LOS LUNAS, NM 87031
(505) 865-3350
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3435
NM
Other
Enumeration date
06/14/2006
Last updated
07/08/2007
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