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NPI Code Detail

MEDICARE: DONNA WHITE MA

MEDICARE: DONNA WHITE MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1174071039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA WHITE MA
Provider Business Mailing Address
First Line : 1596 WASHINGTON BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-4035
Country : US
Telephone Number : 681-378-3881
Fax Number : 681-378-3887
Provider Business Practice Location Address
First Line : 1596 WASHINGTON BLVD
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-4035
Country : US
Telephone Number : 681-378-3881
Fax Number : 681-378-3887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2016
Last Update Date : 09/20/2016

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Directions to “ DONNA WHITE MA” Practice Location

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