Edna J White is a Counselor based in Riverhead, NY. Edna J White practices in Riverhead, NY. The NPI Number for Edna J White is 1972132199 and holds a License No. (New York).
The current practice location address for Edna J White is 11 W Main St Apt 311, Riverhead, NY and can be reached out via phone at 631-295-8631.
Location: 11 W Main St Apt 311, Riverhead, NY, 11901-2800
Provider Profile Details
NPI Number
1972132199
Provider Name
Edna J White
Credential
Provider Entity Type
Individual
Gender
Female
Address
11 W Main St Apt 311, Riverhead, NY, 11901-2800
Phone Number
631-295-8631
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972132199 | 05 | NY | |
| 04082020725525 | 05 | NY |
Provider Business Practice Location Address Details
Address
11 W Main St Apt 311
City
State
Zip
11901-2800
Phone Number
631-295-8631
Fax Number
Provider Business Mailing Address Details
Address
11 W Main St Apt 311
City
State
Zip
11901-2800
Phone Number
631-295-8631
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
(New York)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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