Individual provider · Type 1 NPI

Carissa Joyce White, MPS, LADC, MHP

Addiction (Substance Use Disorder) Counselor · Mora, MN

NPI number 1922632363 Active

Practice location

2031 Rowland Rd
Mora, MN 55051-7119

Fax (651) 323-2558

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305579 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1922632363

Carissa Joyce White, MPS, LADC, MHP's National Provider Identifier is 1922632363, issued on Feb 25, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mora, MN. The record was last updated on Feb 25, 2020.