Individual
SUSAN DEBORAH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3060 MITCHELLVILLE RD, SUITE 104, BOWIE, MD 20716-1389
(240) 475-2221
(301) 384-8876
Mailing address
12900 TOURMALINE TER, SILVER SPRING, MD 20904-5349
(301) 384-8876
(301) 249-8776
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC0769
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2178897
CIGNA EAP
MD
01
—
514031
VALUEOPTIONS
MD
01
—
562760
MAMSI/UNITED HEALTHCARE
MD
01
—
61672002
CAREFIRST MD RENDERING
MD
01
—
GQ40CO
BC/BS CAREFIRST MD
MD
01
—
M3280003
BC/BS CAREFIRST NATL CAP
MD
Enumeration date
05/17/2006
Last updated
07/08/2007
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