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Individual

MS. JACQUELINE REA WHITFIELD

Active
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Individual

MS. JACQUELINE REA WHITFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA, AGS, CHT.

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
103K00000X
Behavior Analyst
—
NULL
1041S0200X
School Social Worker
—
NULL
106E00000X
Assistant Behavior Analyst
—
NULL
106S00000X
Behavior Technician
—
NULL
171M00000X
Case Manager/Care Coordinator
—
NULL
251B00000X
Case Management Agency
—
NULL
374K00000X
Religious Nonmedical Practitioner
—
NULL

Other

Enumeration date
06/13/2018
Last updated
06/13/2018
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