person
Derrick White, LPC
Professional Counselor in Conway, Arkansas
NPI 1124474556

Derrick White is a Professional Counselor based in Conway, AR and is specialized in Professional. Derrick White practices in Conway, AR and has the professional credentials of LPC. The NPI Number for Derrick White is 1124474556 and holds a License No. P1905056 (Arkansas).

The current practice location address for Derrick White is 855 S German Ln Ste 1, Conway, AR and can be reached out via phone at 501-358-6606 and via fax at 501-491-0039.

Location: 855 S German Ln Ste 1, Conway, AR, 72034-8565
person
Provider Profile Details
NPI Number
1124474556
Provider Name
Derrick White
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
855 S German Ln Ste 1, Conway, AR, 72034-8565
Phone Number
501-358-6606
Fax Number
501-491-0039
Provider Enumeration Date
05/04/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
855 S German Ln Ste 1
City
State
Zip
72034-6479
Phone Number
501-358-6606
Fax Number
501-491-0039
person
Provider Business Mailing Address Details
Address
855 S German Ln Ste 1
City
State
Zip
72034-6479
Phone Number
501-358-6606
Fax Number
501-491-0039
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
P1905056 (Arkansas)
Definition
Definition to come...
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