Individual
MR. H. ROGER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., M.A.
Contact information
Practice address
704 SIERRA CT, GRAND PRAIRIE, TX 75052-3122
(972) 614-4455
Mailing address
704 SIERRA CT, GRAND PRAIRIE, TX 75052-3122
(972) 614-4455
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14831
TX
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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