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Provider Information for 1639349459


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Dr. ALFRED DOUGLASS WHITE Jr. Ph.D,, LPC, LMFT


Sex: Male

NPI: 1639349459
Last Updated: 2008-03-07
Certification Date:

Details

NameValue
NPI1639349459
Enumeration Date2008-03-07
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2825 A P TUREAUD AVE
NEW ORLEANS, LA 70119-1009
United States

Phone: 504-289-6854 | Fax:504-304-6673
 
Primary Practice Address 2825 A P TUREAUD AVE
NEW ORLEANS, LA 70119-1009
United States

Phone: 504-289-6854 | Fax:504-304-6673
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)LA2119Licensed Professional Cou
Other (non-Medicare)LA827Licensed Marriage and Fam
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalLA2119
No 106H00000X - Marriage & Family Therapist LA827