Individual
JACOB MATTHEW WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC NCC
Contact information
Practice address
213 W MONROE AVE, SUITE Q, LOWELL, AR 72745-9451
(479) 320-7100
Mailing address
213 W MONROE AVE., SUITE Q, LOWELL, AR 72745
(479) 320-7100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P1503018
AR
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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