Individual provider · Type 1 NPI

Michael Allen White, MSPC, LAC

Professional Counselor · Glendale, AZ

NPI number 1720645211 Active

Practice location

18301 N 79th Ave Ste F168
Glendale, AZ 85308-6045

Mailing address

7357 W Cameron Dr
Peoria, AZ 85345-8792

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLAC-18117 (AZ)
Professional Counselor Primary 101YP2500XLAC-18117 (AZ)

Professional Counselor: Definition to come...

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About NPI 1720645211

Michael Allen White, MSPC, LAC's National Provider Identifier is 1720645211, issued on May 21, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Glendale, AZ. The record was last updated on May 21, 2019.