Provider Demographics
NPI:1982920666
Name:WHITE, CHRISTOPHER NILS (MA)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:NILS
Last Name:WHITE
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 28543
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98228-0543
Mailing Address - Country:US
Mailing Address - Phone:360-397-7667
Mailing Address - Fax:360-313-6883
Practice Address - Street 1:12 BELLWETHER WAY STE 220
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2914
Practice Address - Country:US
Practice Address - Phone:360-397-7667
Practice Address - Fax:360-313-6883
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61903106H00000X, 101YM0800X
WALF61224123106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health