Individual
MR. DAVID WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
636 NEW LOUDON RD, LATHAM, NY 12110-4002
(151) 878-3538
(151) 878-3012
Mailing address
636 NEW LOUDON RD, LATHAM, NY 12110-4002
(151) 878-3538
(151) 878-3012
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21759
NY
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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