Individual
RAY A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC MSHP
Contact information
Practice address
401 HOLSTON DR, GREENVILLE, TN 37743
(423) 639-7011
(423) 636-8365
Mailing address
PO BOX 9054, GRAY, TN 37615-9054
(423) 467-3600
(423) 467-3696
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC139
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121752
MANAGED HEALTH NET
—
01
—
12864
UBH HEALTHPLAN
—
01
—
3085370
MAGELLAN NAVIGATOR
—
01
—
334969
VALUEOPTIONS
—
01
—
94774
CIGNA MCC
—
Enumeration date
08/30/2006
Last updated
07/08/2007
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