Individual
DR. TRISTIN LORRAINE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCMHCS, LPC
Contact information
Practice address
508 BETHEL ST, CLOVER, SC 29710-1154
(803) 675-8227
(704) 919-5079
Mailing address
3013 RIKER ST, CLOVER, SC 29710-6723
(980) 259-2061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1014
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
338
SC
101YP2500X
Professional Counselor
4518
NC
101YP2500X
Professional Counselor
Primary
6722
SC
101YP2500X
Professional Counselor
LH60613218
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102839
—
NC
Enumeration date
02/02/2007
Last updated
02/16/2023
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