Individual
MARK ALLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.M.F.T.
Contact information
Practice address
3311 81ST ST, LUBBOCK, TX 79423-2043
(806) 780-0003
Mailing address
5408 16TH ST, LUBBOCK, TX 79416-5404
(806) 785-1697
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
200985
TX
Other
Enumeration date
05/14/2007
Last updated
07/08/2007
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