# COLONIAL COUNSELING CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497995260
- **Authorized official:** MR. GEORGE M WHITE PSYD, LPC, LSATP, CA (PRESIDENT, CO-OWNER)
- **Authorized official phone:** (804) 706-1111

## Contact information

- **Practice address:** 9844 LORI RD, SUITE 100, CHESTERFIELD, VA 23832-6691
- **Practice address phone:** (804) 706-1111
- **Practice address fax:** (804) 706-1185
- **Mailing address:** 9844 LORI RD, SUITE 100, CHESTERFIELD, VA 23832-6691
- **Mailing address phone:** (804) 706-1111
- **Mailing address fax:** (804) 706-1185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1462 | VA | Yes |

## Other

- **Enumeration date:** 03/05/2009
- **Last updated:** 03/31/2015