Individual
MRS. VIRGINIA L. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT,LPC, CCS, CACII
Contact information
Practice address
1061 HARMON AVE, SUITE 1D03, FT STEWART, GA 31314-5604
(912) 767-5260
(912) 767-5271
Mailing address
1061 HARMON AVENUE STE 1D03, FT STEWART, GA 31314-5641
(912) 767-5260
(912) 767-5271
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC003757
GA
106H00000X
Marriage & Family Therapist
Primary
LMFT000072
DC
Other
Enumeration date
11/11/2005
Last updated
01/21/2011
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