Individual
ANGIE NYE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMHC
Contact information
Practice address
655 E 1300 N, LOGAN, UT 84341
(435) 792-6491
Mailing address
655 E 1300 N, LOGAN, UT 84341
(435) 792-6491
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4983789-6006
UT
Other
Enumeration date
02/17/2009
Last updated
09/12/2019
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