DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. RICHARD GRAHAM WHITE III MFT INTERN

MEDICARE:  MR. RICHARD GRAHAM WHITE III MFT INTERN
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 : 1518283316
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RICHARD GRAHAM WHITE III MFT INTERN
Provider Business Mailing Address
First Line : 7425 RANCHO LOS GUILICOS RD
Second Line : DEPT B
City : SANTA ROSA
State : CA
Zip : 95409-6519
Country : US
Telephone Number : 707-565-8681
Fax Number :
Provider Business Practice Location Address
First Line : 7425 RANCHO LOS GUILICOS RD
Second Line : DEPT B
City : SANTA ROSA
State : CA
Zip : 95409-6519
Country : US
Telephone Number : 707-565-8681
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2010
Last Update Date : 03/21/2013

Similar Medicare Providers

1376757989 — DEPARTMENT OF HEALTH SERVICES
Practice Location Address:
7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA
95409-6519
Practice Phone: 707-565-4700
Practice Fax:
1609063098 — DIANA E ANTONIO
Practice Location Address:
7425 RANCHO LOS GUILICOS RD , DEPT A
SANTA ROSA, CA
95409-6519
Practice Phone: 707-537-6387
Practice Fax:
1992961767 — KELLYE SUSAN BRASSEL
Practice Location Address:
7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA
95409-6519
Practice Phone: 707-565-6387
Practice Fax:
1669605374 — MAYRA PEREZ LOPEZ
Practice Location Address:
7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA
95409-6519
Practice Phone: 707-565-6318
Practice Fax:
1588932107 — CARLA RAE OBRIEN-JAY
Practice Location Address:
7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA
95409-6519
Practice Phone: 707-565-6344
Practice Fax:
1326386277 — KAREN JILL GNASS
Practice Location Address:
7425 RANCHO LOS GUILICOS RD
SANTA ROSA, CA
95409-6519
Practice Phone: 707-565-6344
Practice Fax:

Directions to “ MR. RICHARD GRAHAM WHITE III MFT INTERN” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.