Individual
DIANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4 E CLIFF ST, SOMERVILLE, NJ 08876-1911
(908) 595-1494
Mailing address
4 E CLIFF ST, SOMERVILLE, NJ 08876-1911
(908) 595-1494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00110200
NJ
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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