White, Jeffrey Gordon

White, Jeffrey Gordon is an individual health care provider with primary practice located at 8036 Moorsbridge Rd Suite 2, Portage MI 49024-4419. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. White, Jeffrey Gordon can be contacted via phone (269) 327-1438.

Contact Information

Primary practice address
8036 Moorsbridge Rd Suite 2 Portage MI 49024-4419
Phone: (269) 327-1438
Fax: (269) 327-6454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 007303 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 076562 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801093325 Michigan

Profile Details

NPI number 1538213103
LBN Legal business name White, Jeffrey Gordon
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Oct 20th, 2011 - about 13 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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