Desirae White
Counselor, Addiction (Substance Use Disorder) in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1033855366
StatusActive
Last updated in NPPESMay 10, 2022
Details
- NPI
- 1033855366
- Entity type
- Individual (NPI-1)
- Name
- Desirae White
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 10, 2022
- Certification date
- May 10, 2022
- Last updated
- May 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | OK | Yes |
Practice location
3621 N Kelley Ave Ste 100Oklahoma City, OK 73111-4520
Phone 405-524-5528
Mailing address
9339 Apple DrMidwest City, OK 73130-7183
Phone 405-249-3695
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All 399 Addiction (Substance Use Disorder) Counselor providers in Oklahoma City · All 27,799 providers in Oklahoma City
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