Provider Demographics
NPI:1982013413
Name:WHITE, CHRISTINE (LPC)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 S BARTON ST
Mailing Address - Street 2:UNIT 206
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-4840
Mailing Address - Country:US
Mailing Address - Phone:520-977-0230
Mailing Address - Fax:
Practice Address - Street 1:1303 S BARTON ST
Practice Address - Street 2:UNIT 206
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204-4840
Practice Address - Country:US
Practice Address - Phone:520-977-0230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005729101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional