Doctor Name: | EMILY WHITE |
NPI Number: | 1245596659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | IMF 69434 |
Business Practice Address: | 4993 Golden Foothill Pkwy Suite 2 El Dorado Hills, CA - 957629642 |
Business Phone Number: | 9169419881 |
Business Fax Number: | 9169418815 |
Mailing Address: | 4993 Golden Foothill Pkwy, Suite 2 EL DORADO HILLS |
State: | CA |
Postal Code: | 957629642 |
Phone Number: | 9169419881 |
Fax Number: | 9169418815 |
NPI Enumeration Date: | 04/10/2012 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | IMF 69434 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |