White, Carissa Joyce

White, Carissa Joyce is an individual health care provider with primary practice located at 2031 Rowland Rd , Mora MN 55051-7119. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. White, Carissa Joyce can be contacted via phone (320) 364-1300.

Contact Information

Primary practice address
2031 Rowland Rd Mora MN 55051-7119
Fax: (651) 323-2558
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 305579 Minnesota

Profile Details

NPI number 1922632363
LBN Legal business name White, Carissa Joyce
Credentials MPS, LADC, MHP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2020
Last updated Feb 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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