Tamra White, LPC

NPI #1366441578 in Southlake, Texas

Provider Information

NPI Number: 1366441578
Entity Type: Individual
Name: Tamra White, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jul 19, 2005
Last Updated: Nov 11, 2010

Practice Location

Address: 2485 E SOUTHLAKE BLVD
Address 2: SUITE 180
City: Southlake
State: Texas
ZIP Code: 76092-6686
Phone: (940) 224-0105

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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