| Doctor Name: | THERESA WHITE |
| NPI Number: | 1417063298 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, NCC |
| License Number: | |
| Business Practice Address: | 6700 Bock Rd Ft Washington, MD - 207443135 |
| Business Phone Number: | 3012922778 |
| Business Fax Number: | |
| Mailing Address: | 8507 Cherry Valley Ln, ALEXANDRIA |
| State: | VA |
| Postal Code: | 223092121 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |