Individual
MS. FAY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LADC 1
Contact information
Practice address
58 ESMOND ST, DORCHESTER, MA 02121-4006
(617) 822-5133
Mailing address
58 ESMOND ST, DORCHESTER, MA 02121-4006
(617) 822-5133
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18180
MA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
01/07/2010
Last updated
08/26/2025
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