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General NPI Number Information
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NPI Number | 1700315447
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Entity Type | Individual
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Provider Name | DONNA MARIE WHITE LPCS, LPC, LAC
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 201 SIGMA DR STE 300
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 803-900-1728
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Fax |
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Provider Business Mailing Address
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Address Line | 201 SIGMA DR STE 300
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City | SUMMERVILLE
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State | SC
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Zip | 29486-7722
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Country | US
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Telephone | 803-900-1728
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1605109
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 508417
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6566
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License Number State | SC
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