Provider Demographics
NPI:1639349459
Name:WHITE, ALFRED DOUGLASS JR (PHD,, LPC, LMFT)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:DOUGLASS
Last Name:WHITE
Suffix:JR
Gender:M
Credentials:PHD,, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 A P TUREAUD AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-1009
Mailing Address - Country:US
Mailing Address - Phone:504-289-6854
Mailing Address - Fax:504-304-6673
Practice Address - Street 1:2825 A P TUREAUD AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-1009
Practice Address - Country:US
Practice Address - Phone:504-289-6854
Practice Address - Fax:504-304-6673
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2119101YP2500X
LA827106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2119OtherLICENSED PROFESSIONAL COU
LA827OtherLICENSED MARRIAGE AND FAM