Provider Demographics
NPI:1730423906
Name:WHITE, RICHARD STEVEN (EDD, LMFT)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:STEVEN
Last Name:WHITE
Suffix:
Gender:M
Credentials:EDD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12928 E 106TH WAY
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-0627
Mailing Address - Country:US
Mailing Address - Phone:303-376-9066
Mailing Address - Fax:
Practice Address - Street 1:12928 E 106TH WAY
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-0627
Practice Address - Country:US
Practice Address - Phone:303-376-9066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-12
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFT.0000073106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist