Individual
THOMASINA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
526 OLD LIVERPOOL RD, LIVERPOOL, NY 13088-6238
(315) 453-3911
(315) 453-0197
Mailing address
239 E GLEN AVE, SYRACUSE, NY 13205-2346
(518) 952-8287
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24259
—
Other
Enumeration date
12/17/2015
Last updated
10/05/2023
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