Jacquelyn White
Mental Health Counselor
720 Wood St
Eureka
, California 95501-4413
Jacquelyn White
Mental Health Counselor
720 Wood St
Eureka
, California 95501-4413
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Jacquelyn White
- 3960 Walnut Dr
- Eureka, CA
- Zip : 95503-8938
- Phone :
Second Address
- Jacquelyn White
- 720 Wood St
- Eureka, CA
- Zip : 95501-4413
- Phone : (707) 268-2990
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | 102856 | CA |
National Provider Identifier
| NPI | 1003211319 |
|---|---|
| Provider Name | Jacquelyn White |
| First Address | Eureka, CA 95503-8938 |
| Second Address | Eureka, CA 95501-4413 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2014 |
| Last Update Date | 08/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.