| Doctor Name: | JOSEPH WHITE |
| NPI Number: | 1053714600 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CATC |
| License Number: | W0803171754 |
| Business Practice Address: | 72 Palma Dr Rancho Mirage, CA - 922703843 |
| Business Phone Number: | 9494637331 |
| Business Fax Number: | |
| Mailing Address: | 72 Palma Dr, RANCHO MIRAGE |
| State: | CA |
| Postal Code: | 922703843 |
| Phone Number: | 9494637331 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2014 |
| NPI Last Update Date: | 09/26/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | W0803171754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |