Jackie L White, MA, PC

NPI #1457602260 in Bellevue, Ohio

Provider Information

NPI Number: 1457602260
Entity Type: Individual
Name: Jackie L White, MA, PC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MA, PC
Enumeration Date: Sep 20, 2012
Last Updated: Sep 20, 2012

Practice Location

Address: 817 KILBOURNE ST
City: Bellevue
State: Ohio
ZIP Code: 44811-9431
Phone: (419) 483-9411

Specialties & Taxonomy Codes

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

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