Tina White

NPI #1922732577 in Alton, Illinois

Provider Information

NPI Number: 1922732577
Entity Type: Individual
Name: Tina White
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 11, 2022
Last Updated: Jul 11, 2022

Practice Location

Address: 2615 EDWARDS ST
City: Alton
State: Illinois
ZIP Code: 62002-3915
Phone: (618) 462-2331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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