Individual
SAMANTHA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
3901 E 32ND ST, JOPLIN, MO 64804-3312
(417) 347-7567
Mailing address
180 CEMETERY ROAD, NEOSHO, MO 64850
(417) 451-2450
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2017040288
MO
101YM0800X
Mental Health Counselor
2017040288
MO
101YP2500X
Professional Counselor
2017040288
MO
Other
Enumeration date
11/21/2017
Last updated
09/24/2018
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