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NPI Code Detail

MEDICARE: CORINNE M WHITE

MEDICARE: CORINNE M WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family TherapistMFC53008CA

General Provider Information

NPI Number : 1093840126
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE M WHITE
Provider Business Mailing Address
First Line : PO BOX 3392
Second Line :
City : ROCKLIN
State : CA
Zip : 95677-8469
Country : US
Telephone Number : 916-235-3765
Fax Number :
Provider Business Practice Location Address
First Line : 401 VERNON ST
Second Line : SUITE B
City : ROSEVILLE
State : CA
Zip : 95678-2600
Country : US
Telephone Number : 916-235-3765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2007
Last Update Date : 04/10/2015

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Directions to “ CORINNE M WHITE ” Practice Location

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