Individual provider · Type 1 NPI

Foster White

Mental Health Counselor · Enfield, CT

NPI number 1205041001 Active

Practice location

47 Palomba Dr
Enfield, CT 06082-3868

Call (860) 250-5020 Map

Fax (860) 253-5030

Mailing address

18 Eldridge St
Springfield, MA 01108-3027

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1205041001

Foster White's National Provider Identifier is 1205041001, issued on May 14, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Enfield, CT. The record was last updated on Jul 8, 2007.