Individual
CASEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1657 W BROAD ST UNIT 3A, RICHMOND, VA 23220-2153
(804) 554-0356
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010357
VA
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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