Individual
MR. BENJAMIN PARKER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. , PSYD
Contact information
Practice address
717 NORTH AVENUE, MACON, GA 31211-1418
(478) 475-4608
(478) 476-8397
Mailing address
717 NORTH AVENUE, MACON, GA 31211-1418
(478) 475-4608
(478) 476-8397
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC000934
GA
106H00000X
Marriage & Family Therapist
Primary
MFT000384
GA
Other
Enumeration date
01/05/2007
Last updated
04/27/2026
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