Individual
CARL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1530 ASSISI DR NW, ROCHESTER, MN 55901-1637
(507) 288-3733
(612) 333-4111
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404-3862
(612) 333-3366
(612) 333-4111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
23982
MN
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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