Individual
MATTHEW VICTOR WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
37 CAMP MOWEEN RD, LEBANON, CT 06249-2704
(860) 447-1717
Mailing address
54 ROPE FERRY RD UNIT E96, WATERFORD, CT 06385-2887
(860) 271-5203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10601
CT
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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