person
Susan Deborah White, LCPC
Mental Health Counselor in Bowie, Maryland
NPI 1689626640

Susan Deborah White is a Mental Health Counselor based in Silver Spring, MD and is specialized in Mental Health. Susan Deborah White practices in Bowie, MD and has the professional credentials of LCPC. The NPI Number for Susan Deborah White is 1689626640 and holds a License No. LC0769 (Maryland).

The current practice location address for Susan Deborah White is 3060 Mitchellville Rd, Bowie, MD and can be reached out via phone at 240-475-2221 and via fax at 301-384-8876. You can also correspond with Susan Deborah White through the mailing address at 12900 TOURMALINE TER, SILVER SPRING, MD - 20904-5349 (mailing address contact number: 301-384-8876).

Location: 3060 Mitchellville Rd, Bowie, MD, 20904-5349
person
Provider Profile Details
NPI Number
1689626640
Provider Name
Susan Deborah White
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
3060 Mitchellville Rd, Bowie, MD, 20904-5349
Phone Number
240-475-2221
Fax Number
301-384-8876
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
562760 01 MD MAMSI/UNITED HEALTHCARE
2178897 01 MD CIGNA EAP
2178897 01 MD CIGNA BH
514031 01 MD VALUEOPTIONS
GQ40CO 01 MD BC/BS CAREFIRST MD
61672002 01 MD CAREFIRST MD RENDERING
M3280003 01 MD BC/BS CAREFIRST NATL CAP
institution
Provider Business Practice Location Address Details
Address
3060 Mitchellville Rd
City
State
Zip
20716-1389
Phone Number
240-475-2221
Fax Number
301-384-8876
person
Provider Business Mailing Address Details
Address
12900 Tourmaline Ter
City
State
Zip
20904-5349
Phone Number
301-384-8876
Fax Number
301-249-8776
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC0769 (Maryland)
Definition
Definition to come...
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