Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IVAN WHITE
ActiveIVAN WHITE is a Addiction (Substance Use Disorder) Counselor healthcare provider located in CITRA, Florida. NPI 1730614033 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · CITRA, FL
Registration Details
- NPI Number
- 1730614033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2017 (9.2761496481351 yrs)
- Last Updated
- Apr 24, 2017
- License
-
ADC-006927-2015 (FL)
Practice Information
- Address
-
15681 N US HIGHWAY 301CITRA, FL, 321133154Browse FL providers · Browse ZIP 32113
- Phone
- 3525955000
- Fax
- 3525958431
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in CITRA, FL
| Name | Credential | NPI |
|---|---|---|
| MR. DONALD EUGENE SHANNON | C.A.P. #4011 | 1558546978 |
| JILLIAN KNUTZ | — | 1144761164 |
| DREW MEHALL | MSW | 1174064109 |
| MICHAEL LAMB | — | 1306387287 |
| JONATHAN TAYLOR | — | 1740721620 |
| MRS. ANGELA HOPE MOORE | — | 1417488677 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.