Dominique White's National Provider Identifier (NPI) Details
Dominique White, LPC, CRC
NPI: 1952095085
Enumeration Date: 2023-06-02
Last updated: 2023-06-02
Sole Proprietor: YES
Status: active
Postal Address: PO BOX 292, STATE UNIVERSITY, AR
Phone: 870-316-3075
Primary Practice Address: 1809 AGGIE RD, JONESBORO, AR
Practice's phone: 870-316-3075