Individual
MS. RENEE L WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1565 NORTHERN AVE, #3, KINGMAN, AZ 86409-2481
(928) 757-8589
(928) 757-0744
Mailing address
1565 NORTHERN AVE, #3, KINGMAN, AZ 86409-2481
(928) 757-8589
(928) 757-0744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW10131
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113485
VALUE OPTIONS
AZ
Enumeration date
03/08/2007
Last updated
07/08/2007
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