STEPHEN WHITE

DAYTON, OH
NPI1619948957
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  I-0001444)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: OH  I-0001444)
Enumeration Date2006-01-26
Last Update Date2007-07-08
Business Address
-- STEPHEN WHITE LISW
1250 W. DOROTHY LANE STE 210
DAYTON, OH 45409
Phone number: 937-296-1007
Mailing Address
-- STEPHEN WHITE LISW
922 W RIVERVIEW AVE
DAYTON, OH 45402-6424
Phone number: 937-296-1007