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General NPI Number Information
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NPI Number | 1194250837
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Entity Type | Individual
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Provider Name | TAMARA WHITE MA, LPC, CRC
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Gender | Female
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 33150 SCHOOLCRAFT RD STE L4
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City | LIVONIA
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State | MI
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Zip | 48150-1631
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Country | US
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Telephone | 248-841-0448
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Fax | 833-740-4255
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Provider Business Mailing Address
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Address Line | PO BOX 595
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City | WAYNE
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State | MI
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Zip | 48184-0595
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Country | US
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Telephone | 313-588-6671
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401017183
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 6401017183
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License Number State | MI
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