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Charlie White, LMHC

Counselor, Mental Health in Cedar Rapids, IA. Individual provider (NPI-1).

NPI number1114490331
StatusActive
Last updated in NPPESAug 22, 2025

Details

NPI
1114490331
Entity type
Individual (NPI-1)
Name
Charlie White
Credential
LMHC
Sex
Male
Sole proprietor
No
Enumeration date
Jan 10, 2019
Certification date
Aug 22, 2025
Last updated
Aug 22, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health087660IAYes

Practice location

2720 1st Ave Ne Ste 300
Cedar Rapids, IA 52402-4832

Phone 319-200-5104 · Fax 319-200-2516

Mailing address

2720 1st Ave Ne Ste 300
Cedar Rapids, IA 52402-4832

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