Provider Demographics
NPI:1871900118
Name:WHITE, EMILY FAYE LON (LMFT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FAYE LON
Last Name:WHITE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:938 E MESA CT
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-1521
Mailing Address - Country:US
Mailing Address - Phone:559-901-8154
Mailing Address - Fax:
Practice Address - Street 1:938 E MESA CT
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-1521
Practice Address - Country:US
Practice Address - Phone:559-901-8154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-18
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102428106H00000X, 106H00000X
WALF60895727106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist