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John White
Professional Counselor in Grand Rapids, Minnesota
NPI 1265822324

John White is a Professional Counselor based in Grand Rapids, MN and is specialized in Professional. John White practices in Grand Rapids, MN. The NPI Number for John White is 1265822324 and holds a License No. (Minnesota).

The current practice location address for John White is 215 Se 2Nd Ave, Grand Rapids, MN and can be reached out via phone at 218-326-1274.

Location: 215 Se 2Nd Ave, Grand Rapids, MN, 55744-3615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265822324
Provider Name
John White
Credential
Provider Entity Type
Individual
Gender
Male
Address
215 Se 2Nd Ave, Grand Rapids, MN, 55744-3615
Phone Number
218-326-1274
Fax Number
Provider Enumeration Date
01/28/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
894755400 05 MN
institution
Provider Business Practice Location Address Details
Address
215 Se 2Nd Ave
City
Grand Rapids
State
Minnesota
Zip
55744-3615
Phone Number
218-326-1274
Fax Number
person
Provider Business Mailing Address Details
Address
215 Se 2Nd Ave
City
Grand Rapids
State
Minnesota
Zip
55744-3615
Phone Number
218-326-1274
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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