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Individual
JEREMY WHITE
Active
Individual
JEREMY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
NULL
101YP2500X
Professional Counselor
—
NULL
101YS0200X
School Counselor
—
NULL
103K00000X
Behavior Analyst
—
NULL
104100000X
Social Worker
Primary
—
NULL
Other
Enumeration date
07/03/2015
Last updated
04/20/2016
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