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Virgil Wayne White
Addiction (Substance Use Disorder) Counselor in Lemon Grove, California
NPI 1558057604

Virgil Wayne White is an Addiction (Substance Use Disorder) Counselor based in El Cajon, CA and is specialized in Addiction (Substance Use Disorder). Virgil Wayne White practices in Lemon Grove, CA. The NPI Number for Virgil Wayne White is 1558057604 and holds a License No. (California).

The current practice location address for Virgil Wayne White is 2049 Skyline Dr, Lemon Grove, CA and can be reached out via phone at 619-930-0471.

Location: 2049 Skyline Dr, Lemon Grove, CA, 92020-1651
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558057604
Provider Name
Virgil Wayne White
Credential
Provider Entity Type
Individual
Gender
Male
Address
2049 Skyline Dr, Lemon Grove, CA, 92020-1651
Phone Number
619-930-0471
Fax Number
Provider Enumeration Date
04/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2049 Skyline Dr
City
Lemon Grove
State
California
Zip
91945-4221
Phone Number
619-930-0471
Fax Number
person
Provider Business Mailing Address Details
Address
2049 Skyline Dr
City
Lemon Grove
State
California
Zip
91945-4221
Phone Number
619-930-0471
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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