Individual
CHASE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
406 SUNRISE AVE STE 300, ROSEVILLE, CA 95661-4144
(916) 783-5207
Mailing address
300 CIRBY HILLS DR APT 257, ROSEVILLE, CA 95678-4366
(559) 542-3874
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42182
CA
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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