Individual
CAROL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1330 SAN PEDRO DR NE STE 201B, ALBUQUERQUE, NM 87110-6749
(505) 260-9912
(505) 260-9934
Mailing address
1330 SAN PEDRO DR NE STE 201B, ALBUQUERQUE, NM 87110-6749
(505) 260-9912
(505) 260-9934
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I-07119
NM
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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