Individual
EBONY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
765 ROUTE 70 E BLDG A, MARLTON, NJ 08053-2341
(856) 797-4771
(856) 797-4785
Mailing address
765 ROUTE 70 E BLDG A, MARLTON, NJ 08053-2341
(856) 797-4771
(856) 797-4785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
37AC00513400
NJ
101YP2500X
Professional Counselor
Primary
37PC01098300
NJ
104100000X
Social Worker
37AC00513400
NJ
Other
Enumeration date
06/26/2023
Last updated
03/24/2025
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