Jackie White, LPC

NPI #1295125771 in Phenix City, Alabama

Provider Information

NPI Number
1295125771
Entity Type
Individual
Name
Jackie White, LPC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Feb 4, 2015
Last Updated
Feb 4, 2015

Practice Location

Address
3170 MARTIN LUTHER KING JR PKWY S
State
Alabama
ZIP Code
36869-8405
Phone
(334) 298-2405

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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