Individual
MS. AMY JO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
2931 OLNEY SANDY SPRING RD, F, OLNEY, MD 20832-1527
(301) 775-9661
(301) 830-6862
Mailing address
18209 LEMAN LAKE DR, 508B, OLNEY, MD 20832-3000
(301) 775-9661
(301) 830-6862
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2138
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265674
—
MD
Enumeration date
11/21/2006
Last updated
01/07/2016
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