Individual provider · Type 1 NPI

Virgil Wayne White

Addiction (Substance Use Disorder) Counselor · Lemon Grove, CA

NPI number 1558057604 Active

Practice location

2049 Skyline Dr
Lemon Grove, CA 91945-4221

Mailing address

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1558057604

Virgil Wayne White's National Provider Identifier is 1558057604, issued on Apr 12, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lemon Grove, CA. The record was last updated on Apr 12, 2023.