Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 2208098 | GA |
NPI | 1083382527 |
---|---|
Provider Name | Dr. Caarne L White |
First Address | Mcdonough, GA 30253-6897 |
Second Address | Mcdonough, GA 30253-6666 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2021 |
Last Update Date | 31/08/2021 |