Provider Demographics
NPI:1437351327
Name:WHITE, MEG C (MA LMHC)
Entity Type:Individual
Prefix:
First Name:MEG
Middle Name:C
Last Name:WHITE
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18913 VASHON HWY SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-5215
Mailing Address - Country:US
Mailing Address - Phone:206-719-4487
Mailing Address - Fax:206-463-1206
Practice Address - Street 1:18913 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-5215
Practice Address - Country:US
Practice Address - Phone:206-719-4487
Practice Address - Fax:206-463-1206
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006636101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health