| NPI | 1568829620 |
|---|---|
| Former Legal Business Name | AMY J. WHITE, LCPC PC |
| Entity Type | Organization |
| Authorized Contact | AMY JO WHITE Owner/Therapist 301-775-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC2138) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD 499) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |