Individual
PATRICIA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41945 BIG BEAR BLVD STE 222, BIG BEAR LAKE, CA 92315-2030
(909) 866-5070
(760) 365-3513
Mailing address
PO BOX 1927, BIG BEAR LAKE, CA 92315-1927
(909) 866-5070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/13/2007
Last updated
02/24/2022
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