Provider Information for 1740967389
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Mrs. ROSA MARIA WHITE LPC, LMHC
Sex: Female
NPI: 1740967389
Last Updated: 2024-07-10
Certification Date: 2023-10-30
Certification Date: 2023-10-30
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740967389 | ||||||||||||
| Enumeration Date | 2023-07-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 19726 DRIFTWOOD BAY DR EAGLE RIVER, AK 99577-8820 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 3760 PIPER ST STE 1108 ANCHORAGE, AK 99508-4683 United States Phone: 262-344-0211 | Fax: | ||||||||||||
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