Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | NJ | |
Y | 101YP1600X | Pastoral Counselor | NJ |
NPI | 1356005623 |
---|---|
Provider Name | Dr. Jarett White |
First Address | Howell, NJ 07731-8535 |
Second Address | Howell, NJ 07731-8535 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/10/2021 |
Last Update Date | 23/10/2021 |