Individual
DR. NICHOLAS WILLIAM WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DA, LCSW, MLADC
Contact information
Practice address
30 PLEASANT STREET, CONWAY, NH 03818
(603) 447-3329
Mailing address
PO BOX 155, JACKSON, NH 03846-0155
(603) 447-3329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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