Individual
MR. THOMAS JUSTICE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
103 CREEK CT, ENTERPRISE, AL 36330-2113
(334) 434-4269
Mailing address
103 CREEK CT, ENTERPRISE, AL 36330-2113
(334) 434-4269
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2852
AL
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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