Todd Shannon White I
Todd Shannon White I is a Peer Specialist in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.
- Licensed in
- NM
- In the registry since
- 2021
Practice location Address checks out
912 1st St NWAlbuquerque, NM 87102-2355
Phone: (505) 224-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 1144 (NM) |
|---|
Record details
| NPI number | 1538834833 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 10, 2021 |
| Last updated in NPPES | August 10, 2021 |
| Certification date | August 10, 2021 |
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