Individual provider · Type 1 NPI

Lisa White

Mental Health Counselor · Vicksburg, MS

NPI number 1730414665 Active

Practice location

3444 Wisconsin Ave
Vicksburg, MS 39180-5331

Call (601) 638-0031 Map

Mailing address

3444 Wisconsin Ave.
Vicksburg, MS 39180-2067

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730414665

Lisa White's National Provider Identifier is 1730414665, issued on Oct 9, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vicksburg, MS. The record was last updated on Oct 9, 2009.