Susan White

NPI #1750506945 in Louisburg, Kansas

Provider Information

NPI Number: 1750506945
Entity Type: Organization
Organization Name: Susan White
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Apr 15, 2007
Last Updated: Jun 19, 2008

Practice Location

Address: 5 S PEORIA ST
Address 2: SUITE 206
City: Louisburg
State: Kansas
ZIP Code: 66053-4084
Phone: (913) 837-4919

Authorized Official

Name: MS. SUSAN GAYLE WHITE, LMSW, CADCIII
Title: EXECUTIVE DIRECTOR
Phone: (913) 837-4919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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