Provider Demographics
NPI:1760225312
Name:WHITE, VIKKI ANNE (MS)
Entity type:Individual
Prefix:MRS
First Name:VIKKI
Middle Name:ANNE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:VIKKI
Other - Middle Name:ANNE
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:290 FRONT ROYAL PIKE
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22602-7313
Mailing Address - Country:US
Mailing Address - Phone:540-202-2426
Mailing Address - Fax:540-665-5280
Practice Address - Street 1:290 FRONT ROYAL PIKE
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22602-7313
Practice Address - Country:US
Practice Address - Phone:540-202-2426
Practice Address - Fax:540-665-5280
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0709025758101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)