Individual
CHAD R WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
30 LEAVITT ST, SKOWHEGAN, ME 04976
(207) 399-5609
Mailing address
30 LEAVITT ST, SKOWHEGAN, ME 04976-1843
(207) 399-5609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC5853
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC6551
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LC6551
—
ME
Enumeration date
09/16/2015
Last updated
06/05/2018
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