MS. De'audra Jackson Whiting, LCDC

NPI #1649558602 in Magnolia, Texas

Provider Information

NPI Number
1649558602
Entity Type
Individual
Name
MS. De'audra Jackson Whiting, LCDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC
Enumeration Date
Jul 25, 2011
Last Updated
Jul 25, 2011

Practice Location

Address
402 SAGEBRUSH LN
State
Texas
ZIP Code
77354-1736
Phone
(832) 659-1224

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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