Individual
RANDALL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
5034 ATLANTIC AVE, MAYS LANDING, NJ 08330-2022
(855) 740-1921
Mailing address
2701 RENAISSANCE BLVD FL 4, KING OF PRUSSIA, PA 19406-2781
(484) 803-9663
(484) 393-4096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00246700
NJ
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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