MS. Alice Miriam Marjorie Woodson White, LCSW-R, CASAC

NPI #1881872752 in Setauket, New York

Provider Information

NPI Number: 1881872752
Entity Type: Individual
Name: MS. Alice Miriam Marjorie Woodson White, LCSW-R, CASAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: LCSW-R, CASAC
Enumeration Date: Feb 4, 2008
Last Updated: Jun 17, 2022

Practice Location

Address: 249 MAIN ST STE 2
City: Setauket
State: New York
ZIP Code: 11733-2919
Phone: (631) 675-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Mental Health — Mental Health	101YM0800X	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Social Worker	104100000X

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