Individual
BRIDGET WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7505 PINES RD, STE 1255, SHREVEPORT, LA 71129-3935
(318) 716-1707
(318) 716-1815
Mailing address
7505 PINES RD STE 1200I, SHREVEPORT, LA 71129-3900
(318) 716-1707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/20/2016
Last updated
12/21/2022
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