Individual
TERESA MICHELLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 N ROAD ST, ELIZABETH CITY, NC 27909-3336
(434) 547-8878
Mailing address
128 MILL RUN LOOP, SOUTH MILLS, NC 27976-8000
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10297A
NC
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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