Individual
JOSHUA DANIEL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 BOONE RD, BLOOMSBURG, PA 17815-8517
(570) 418-1376
Mailing address
210 BOONE RD, BLOOMSBURG, PA 17815-8517
(570) 418-1376
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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