White, Jackie
White, Jackie is an individual health care provider with primary practice located at 3170 Martin Luther King Jr Pkwy S , Phenix City AL 36869-8405. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. White, Jackie can be contacted via phone (334) 298-2405.Contact Information
Primary practice address
3170 Martin Luther King Jr Pkwy S
Phenix City AL 36869-8405
Phone: (334) 298-2405
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3047 | Alabama |
Profile Details
| NPI number | 1295125771 |
|---|---|
| LBN Legal business name | White, Jackie |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2015 |
| Last updated | Feb 4th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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