Individual
REBECCA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18272 N WILD GOOSE AVE, NAMPA, ID 83687-8805
(949) 278-6276
Mailing address
18272 N WILD GOOSE AVE, NAMPA, ID 83687-8805
(949) 278-6276
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
9671767
ID
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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