Individual
MRS. COURTNEY CAUDLE WHITE
Active
Individual
MRS. COURTNEY CAUDLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6947
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11945552
CAQH NUMBER
—
01
—
151ME
BLUE CROSS/BLUE SHIELD
—
01
—
2234504
COMPSYCH
—
01
—
3224037
CIGNA
—
01
—
467889
MHN
—
01
—
56162
MEDCOST
—
05
—
6103883
—
NC
01
—
9736312
AETNA
—
Enumeration date
06/29/2007
Last updated
03/19/2012
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