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Individual
MR. TERRELL JENSEN WHITE
Active
Individual
MR. TERRELL JENSEN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LMFT29341
CA
106H00000X
Marriage & Family Therapist
LMFT29341
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LMFT29341
STATE LICENSE
CA
Enumeration date
12/12/2017
Last updated
08/11/2020
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