Individual provider · Type 1 NPI

Ivan White

Addiction (Substance Use Disorder) Counselor · Citra, FL

NPI number 1730614033 Active

Practice location

15681 N US Highway 301
Citra, FL 32113-3154

Call (352) 595-5000 Map

Fax (352) 595-8431

Mailing address

6025 SE 46th Avenue Rd
Ocala, FL 34480-7765

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XADC-006927-2015 (FL)

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

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About NPI 1730614033

Ivan White's National Provider Identifier is 1730614033, issued on Apr 24, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Citra, FL. The record was last updated on Apr 24, 2017.