Jacob Matthew White, MS LPC NCC

NPI #1073909719 in Lowell, Arkansas

Provider Information

NPI Number: 1073909719
Entity Type: Individual
Name: Jacob Matthew White, MS LPC NCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MS LPC NCC
Enumeration Date: Apr 9, 2015
Last Updated: Apr 9, 2015

Practice Location

Address: 213 W MONROE AVE
Address 2: SUITE Q
City: Lowell
State: Arkansas
ZIP Code: 72745-9451
Phone: (479) 320-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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