Individual
MR. REGINALD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1524 TALLEY CIR, PORTSMOUTH, VA 23704-3244
(757) 300-3006
Mailing address
1524 TALLEY CIR, PORTSMOUTH, VA 23704-3244
(757) 300-3006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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