Organization
WILLIAM R WHITE COUNSELING & PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R WHITE LCSW (PRESIDENT)
(309) 287-9464
Entity
Organization
Contact information
Practice address
712 E EMPIRE ST, BLOOMINGTON, IL 61701-3252
(309) 287-9464
(309) 827-7576
Mailing address
712 E EMPIRE ST, BLOOMINGTON, IL 61701-3252
(309) 287-9464
(309) 827-7576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
149.004861
IL
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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