Individual
MS. EBONY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC, NCC
Contact information
Practice address
10130 MALLARD CREEK RD STE 300, CHARLOTTE, NC 28262-6001
(980) 430-9943
Mailing address
434 LEECREST DR, CHARLOTTE, NC 28214-2577
(980) 430-9943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A14736
NC
101YP2500X
Professional Counselor
A14736
NC
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/21/2019
Last updated
09/12/2022
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