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Organization

MAKAEL WHITE PLLC

Active
Other names
Sirona & Sage Healing
Organization subpart
No

Provider details

NPI number
Authorized official
MAKAEL LEE WHITE LMFT, ATR - BC (RELATIONAL ART THERAPIST/OWNER)
(253) 290-3762
Entity
Organization

Contact information

Practice address
447 25TH AVE, LONGVIEW, WA 98632-1321
(206) 348-9385
Mailing address
447 25TH AVE, LONGVIEW, WA 98632-1321
(206) 348-9385

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
221700000X
Art Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2250928
WA
Enumeration date
08/06/2024
Last updated
01/13/2025
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