Individual
AMANDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2901 OHIO BLVD, SUITE 202, TERRE HAUTE, IN 47803-2239
(812) 232-2144
(812) 234-4598
Mailing address
2901 OHIO BLVD, SUITE 202, TERRE HAUTE, IN 47803-2239
(812) 232-2144
(812) 234-4598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39002625A
IN
Other
Enumeration date
06/22/2015
Last updated
06/22/2015
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