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Individual
JEFFERY WHITE
Active
Individual
JEFFERY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A042360916
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A042360916
CERTIFIED SUBSTANCE USE DISORDER COUNSELOR
CA
Enumeration date
03/16/2016
Last updated
09/25/2019
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