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MR. GEORGE M WHITE LPC

Addiction Substance Use Disorder

Chesterfield, Virginia

Provider NPI: 1659397362

Provider Information:
MR. GEORGE M WHITE LPC
Gender: M
Sole Proprietor


Practice Location:
9844 LORI RD SUITE 100 CHESTERFIELD, VA 23832 US
Tel: 804-706-1111  Fax: 804-706-1185

Business Mailing Address:
9844 LORI RD SUITE 100 CHESTERFIELD, VA 23832 US
Tel: 804-706-1111  Fax: 804-706-1185

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
VA

Other Provider Identifiers:

IssuerNumberStateType
010244765VA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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