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Individual

AMY MARIE WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, LPC, MAC, CCTP

Contact information

Practice address
3345 SHERRIE ST, ANCHORAGE, AK 99504-4061
(907) 727-4455
(907) 771-0588
Mailing address
3345 SHERRIE ST, ANCHORAGE, AK 99504-4061
(907) 720-1130
(907) 771-0588

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AK
101YP2500X
Professional Counselor
Primary
PCOP639
AK

Other

Enumeration date
06/30/2009
Last updated
09/19/2022
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