| Derrick White, LPC | |
|
855 S German Ln Ste 1, Conway, AR 72034-6479 | |
| (501) 358-6606 | |
| (501) 491-0039 |
| Full Name | Derrick White |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 855 S German Ln Ste 1, Conway, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124474556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | P1905056 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Derrick White, LPC 1820 S Salem Rd Apt 3, Conway, AR 72034-8565 Ph: (501) 908-7448 | Derrick White, LPC 855 S German Ln Ste 1, Conway, AR 72034-6479 Ph: (501) 358-6606 |
Mary Louise Strain, MS LICENSED PSYCHOLO Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Todd Mcguire, Counselor Medicare: Medicare Enrolled Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-315-3344 | |
Alison Kay Tutt, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1601 Hogan Ln Apt 2001, Conway, AR 72034 Phone: 479-747-5290 | |
Carol Marie Kretzmann, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-548-9905 | |
James V Fudoli, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 | |
Jeff Koehn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Lower Ridge Rd, Conway, AR 72032 Phone: 501-221-1941 | |
Mary Elizabeth Cook, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572 |