Individual
CONSTANCE RENAE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
500 COVENTRY LN STE 130, CRYSTAL LAKE, IL 60014-7578
(815) 889-0582
(815) 205-4083
Mailing address
2707 3 OAKS RD UNIT 932, CARY, IL 60013-3525
(224) 432-6419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
06/24/2013
Last updated
12/04/2024
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