person
Lisa White
Mental Health Counselor in Alda, Nebraska
NPI 1114472917

Lisa White is a Mental Health Counselor based in Alda, NE and is specialized in Mental Health. Lisa White practices in Alda, NE. The NPI Number for Lisa White is 1114472917 and holds a License No. P-1375 (Nebraska).

The current practice location address for Lisa White is 4385 W Stolley Park Rd, Alda, NE and can be reached out via phone at 308-383-1622.

Location: 4385 W Stolley Park Rd, Alda, NE, 68810-9798
person
Provider Profile Details
NPI Number
1114472917
Provider Name
Lisa White
Credential
Provider Entity Type
Individual
Gender
Female
Address
4385 W Stolley Park Rd, Alda, NE, 68810-9798
Phone Number
308-383-1622
Fax Number
Provider Enumeration Date
08/22/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13879032 01 NE CAQH
institution
Provider Business Practice Location Address Details
Address
4385 W Stolley Park Rd
City
State
Zip
68810-9798
Phone Number
308-383-1622
Fax Number
person
Provider Business Mailing Address Details
Address
4385 W Stolley Park Rd
City
State
Zip
68810-9798
Phone Number
308-383-1622
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
10970 (Nebraska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
P-1375 (Nebraska)
Definition
Definition to come...
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