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Individual

MRS. COURTNEY CAUDLE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., LPC

Contact information

Practice address
263 3RD AVE NW, HICKORY, NC 28601-4911
(828) 322-4941
(828) 322-4931
Mailing address
263 3RD AVE NW, HICKORY, NC 28601-4911
(828) 322-4941
(828) 322-4931

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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