| Doctor Name: | TED JOSEPH WHITE |
| NPI Number: | 1043509854 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHP |
| License Number: | 3876 |
| Business Practice Address: | 8563 S 102nd St La Vista, NE - 681283229 |
| Business Phone Number: | 4026518670 |
| Business Fax Number: | |
| Mailing Address: | 1941 S 42nd St Ste 129, OMAHA |
| State: | NE |
| Postal Code: | 681052938 |
| Phone Number: | 4028719979 |
| Fax Number: | 4026149947 |
| NPI Enumeration Date: | 04/01/2011 |
| NPI Last Update Date: | 04/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 3876 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |