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MS. LISA MAE WHITE SUD
NPI 1841319092
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since March 28, 2007
3340 KEMPER ST, SUITE 105, SAN DIEGO, CA 92110(619) 523-8121(619) 523-8742 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Lisa Mae White Sud NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LISA MAE WHITE SUD (NPI 1841319092) is an individual addiction (substance use disorder) provider in San Diego, California, licensed in California (A020360815) and active in the NPI registry since March 2007. She maintains a secondary practice location in Lemon Grove.

NPPES Registry Identity

NPI1841319092
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. LISA MAE WHITECredential: SUD
Location Address3340 KEMPER ST, SUITE 105San Diego, CA 92110-4906
Mailing Address3340 Kemper St, Suite 105San Diego, CA 92110-4906 · (619) 523-8121 · Fax (619) 523-8742
Phone(619) 523-8121
Fax(619) 523-8742
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 17, 2023
NPPES CertifiedJuly 17, 2023
✔ NPI 1841319092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · A020360815
3340 KEMPER ST, San Diego, CA 92110
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Secondary Practice Location 1

Location 17592 BroadwayLemon Grove, CA 91945-1604 · Phone (619) 515-2550

Other Identifiers 1

Medicaid373781CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BORANY TEK REINBOLD M.A.
Marriage & Family Therapist
3340 KEMPER ST, SUITE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MR. MICHAEL ALLEN STEWARD BA, CAS
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST, SUITE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
DR. EDWARD KELLY HOLLY D.D.S.
Dentist (General Practice)
3340 KEMPER ST, SUITE 201
SAN DIEGO, CA 92110
San Diego County (619) 224-2828
JACLYN CORNEJO 89928 IMF
Counselor (Mental Health)
3340 KEMPER ST, SUITE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
RONALD CONRAD TULIO CATC INTERN
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MS. KATE ANN PHILLIPS CADC1
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MR. KEITH ALAN PRATT
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST, SUITE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121
MR. MICHAEL CHRISTOPHER STILTZ RADT-1
Counselor (Addiction (Substance Use Disorder))
3340 KEMPER ST, SUITE 105
SAN DIEGO, CA 92110
San Diego County (619) 523-8121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa White's NPI number?

The NPI number for Lisa White is 1841319092. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Lisa White located?

Lisa White practices at 3340 Kemper St Suite 105, San Diego, CA 92110. The listed phone number is (619) 523-8121.

What is Lisa White's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Lisa White was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.