Individual
LYWANDA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P-LPC
Contact information
Practice address
2550 MARSHALL RD, BILOXI, MS 39531-4747
(228) 207-3549
Mailing address
711 25TH ST, GULFPORT, MS 39501-3414
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P-0688
MS
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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