Individual
PATRICIA ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
256 COLUMBIA TPKE, FLORHAM PARK, NJ 07932-1209
(973) 593-0090
(973) 593-9040
Mailing address
6 CLOVER LN, GLENWOOD, NJ 07418-1662
(973) 764-2847
(973) 764-2847
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00046000
NJ
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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