Doctor Name: | MS. NORMA S WHITE |
NPI Number: | 1073641528 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, LPC, LMFT |
License Number: | 0701002466 |
Business Practice Address: | 110 Vista Centre Dr Suite 5 Forest, VA - 245512600 |
Business Phone Number: | 4343169339 |
Business Fax Number: | 4343167025 |
Mailing Address: | 110 Vista Centre Dr, Suite 5 FOREST |
State: | VA |
Postal Code: | 245512600 |
Phone Number: | 4343169339 |
Fax Number: | 4343167025 |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 0701002466 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |