Individual
SANDRA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
756 PURPLE SAGE RD, BANDERA, TX 78003-3981
(830) 200-0134
Mailing address
756 PURPLE SAGE RD, BANDERA, TX 78003-3981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
62210
TX
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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