Willie Deeanjlo0 White, LICDC-CS
Willie Deeanjlo0 White, LICDC-CS is a Substance Abuse Rehabilitation Facility in London, Ohio. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
Practice location Address checks out
1580 State Route 56 SWLondon, OH 43140-8623
Phone: (740) 852-2454
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1730576091 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICDC-CS |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2015 |
| Last updated in NPPES | April 27, 2015 |