Individual
MR. GEORGE M WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
9844 LORI RD, SUITE 100, CHESTERFIELD, VA 23832-6691
(804) 706-1111
(804) 706-1185
Mailing address
9844 LORI RD, SUITE 100, CHESTERFIELD, VA 23832-6691
(804) 706-1111
(804) 706-1185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010244765
—
VA
Enumeration date
07/14/2006
Last updated
12/28/2016
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