Individual provider · Type 1 NPI

Stefan Shebazz White

Counselor · Mona, UT

NPI number 1134461775 Active

Practice location

525 W 200 N
Mona, UT 84648

Call (801) 375-4240 Map

Fax (801) 375-4241

Mailing address

619 N 500 W
Provo, UT 84601-1547

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1134461775

Stefan Shebazz White's National Provider Identifier is 1134461775, issued on Mar 21, 2013. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mona, UT. The record was last updated on Mar 21, 2013.