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Larry White, BA
Mental Health Counselor in Star City, Arkansas
NPI 1154830750

Larry White is a Mental Health Counselor based in Pine Bluff, AR and is specialized in Mental Health. Larry White practices in Star City, AR and has the professional credentials of BA. The NPI Number for Larry White is 1154830750 and holds a License No. (Arkansas).

The current practice location address for Larry White is 612 E Arkansas St, Star City, AR and can be reached out via phone at 870-628-4181 and via fax at 870-628-5369.

Location: 612 E Arkansas St, Star City, AR, 71603-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154830750
Provider Name
Larry White
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
612 E Arkansas St, Star City, AR, 71603-3937
Phone Number
870-628-4181
Fax Number
870-628-5369
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
116378726 05 AR
institution
Provider Business Practice Location Address Details
Address
612 E Arkansas St
City
Star City
State
Arkansas
Zip
71667-4842
Phone Number
870-628-4181
Fax Number
870-628-5369
person
Provider Business Mailing Address Details
Address
612 E Arkansas St
City
Star City
State
Arkansas
Zip
71667-4842
Phone Number
870-628-4181
Fax Number
870-628-5369
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
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Definition
Definition to come...
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