Individual
CHARLIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2720 1ST AVE NE STE 300, CEDAR RAPIDS, IA 52402-4832
(319) 200-5104
(319) 200-2516
Mailing address
2720 1ST AVE NE STE 300, CEDAR RAPIDS, IA 52402-4832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
087660
IA
Other
Enumeration date
01/10/2019
Last updated
08/22/2025
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