| Doctor Name: | MRS. DARLENE SANDRA WHITE |
| NPI Number: | 1568628303 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC LICENSED ADDICTI |
| License Number: | 1007 |
| Business Practice Address: | 510 8th Ave Ne Hazen, ND - 58545 |
| Business Phone Number: | 7017483888 |
| Business Fax Number: | |
| Mailing Address: | 510 8th Ave Ne, Hazen Memorial Hospital Association HAZEN |
| State: | ND |
| Postal Code: | 58545 |
| Phone Number: | 7017482225 |
| Fax Number: | 7017483889 |
| NPI Enumeration Date: | 07/31/2008 |
| NPI Last Update Date: | 06/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1007 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |