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Individual

MR. ADRIAN J WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW, LCAS

Contact information

Practice address
1914 J N PEASE PL, CHARLOTTE, NC 28262-4504
(252) 320-8848
Mailing address
10025 PINESHADOW DR APT 101, CHARLOTTE, NC 28262-1144
(252) 320-8848

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20839
NC
1041C0700X
Clinical Social Worker
Primary
C016142
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1164854543
NC
Enumeration date
08/07/2013
Last updated
07/18/2023
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