Doctor Name: | CHRISTINA WHITE |
NPI Number: | 1154786226 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 16225 Tuggie Dr Sutter Creek, CA - 956859755 |
Business Phone Number: | 2093041057 |
Business Fax Number: | |
Mailing Address: | 16225 Tuggie Dr, SUTTER CREEK |
State: | CA |
Postal Code: | 956859755 |
Phone Number: | 2093041057 |
Fax Number: | |
NPI Enumeration Date: | 12/16/2015 |
NPI Last Update Date: | 12/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |