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Individual
MR. JUSTIN M WHITE
Active
Individual
MR. JUSTIN M WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS, LCSWA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22804-A
NC
1041C0700X
Clinical Social Worker
Primary
C016600
NC
Other
Enumeration date
09/01/2016
Last updated
07/22/2024
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