Mark Allen White LPC

NPI 1679746234 - Counselor - 101YM0800X

NPI Details
NPI 1679746234
Gender Male
Enumeration Date 04/03/2008
Last Updated 08/12/2009
Entity Type Individual
Active Over 8 years ago
Practice Location
1025 MEADOWBROOK AVE
PRAGUE OK, 74864, US
Phone (405) 380-1135
Fax
Business Location
PO BOX 465
PRAGUE OK, 74864-0465, US
Phone (405) 567-5542
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Oklahoma
License Number 3984
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According to our database, Mark Allen White LPC NPI is 1679746234, taxonomy code is 101YM0800X and license number is 3984, license state is located at Oklahoma. Mark Allen White LPC physically located at 1025 Meadowbrook Ave, Prague OK, 74864. NPI Number Mark Allen White LPC has the Individual type.

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1679746234 NPI number is provided on an as is basis without warranty of any kind. 1679746234 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Allen White LPC are for informational purposes only.