Doctor Name: | MRS. VIRGINIA L. WHITE |
NPI Number: | 1841271285 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT,LPC, CCS, CACII |
License Number: | LPC003757 |
Business Practice Address: | 1061 Harmon Ave Suite 1d03 Ft Stewart, GA - 313145604 |
Business Phone Number: | 9127675260 |
Business Fax Number: | 9127675271 |
Mailing Address: | 1061 Harmon Avenue Ste 1d03, FT STEWART |
State: | GA |
Postal Code: | 313145641 |
Phone Number: | 9127675260 |
Fax Number: | 9127675271 |
NPI Enumeration Date: | 11/11/2005 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC003757 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |