Individual
ANASTASIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1300 N 12TH ST STE 550, PHOENIX, AZ 85006-2820
(480) 305-4058
Mailing address
1300 N 12TH ST STE 550, PHOENIX, AZ 85006-2820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-23003
AZ
Other
Enumeration date
01/31/2022
Last updated
02/03/2025
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