Individual ProviderJohanna WhiteCounselorBehavioral Health & Social Service ProvidersPractice Address2 Cote Ln Ste B, Bedford, NH 03110-5842(603) 750-6511PECOS EnrollmentBased on the most recent information from CMS, provider Johanna White does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912731217Provider TypeIndividualFull NameWhite, JohannaCredentialCMHCGenderFemaleSole ProprietorNoEnumeration Date8/28/2024Last Updated8/28/2024Contact InformationPractice LocationPractice Address2 Cote Ln Ste B, Bedford, NH 03110-5842Phone(603) 750-6511FaxUnlisted FaxMailing LocationMailing Address2 Cote Ln Ste B, Bedford, NH 03110-5842PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicensePRE-LICENSEDNew Hampshire