Individual
JACQUELINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CIT
Contact information
Practice address
2321 HIGHWAY 80 E, MONROE, LA 71203-9366
(318) 600-3333
Mailing address
2321 HIGHWAY 80 E, MONROE, LA 71203-9366
(318) 600-3333
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
4137
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4137
LA
Other
Enumeration date
08/17/2020
Last updated
02/15/2022
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