Individual
HEATHER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
255 AVENUE W, BROOKLYN, NY 11223-5202
(816) 656-9723
Mailing address
255 AVENUE W, BROOKLYN, NY 11223-5202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
102290-1
NY
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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