Healthcare Provider Details

I. General information

NPI: 1831458736
Provider Name (Legal Business Name): VICTORIA ANN WHITE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2012
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5909 PANORAMA DR SE APT 21-103
AUBURN WA
98092-8737
US

IV. Provider business mailing address

1402 LAKE TAPPS PKWY STE F104 148
AUBURN WA
98092
US

V. Phone/Fax

Practice location:
  • Phone: 206-371-7724
  • Fax: 866-473-8616
Mailing address:
  • Phone: 206-371-7724
  • Fax: 866-473-8616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60535136
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: