Individual
THOMAS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12123 ELMWOOD DR, BRANDYWINE, MD 20613-5729
(804) 909-6598
Mailing address
12123 ELMWOOD DR, BRANDYWINE, MD 20613-5729
(804) 909-6598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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