Individual
DR. JASON KENT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
807 S PINE ST, STILLWATER, OK 74074-4350
(405) 614-2846
Mailing address
807 S PINE ST, STILLWATER, OK 74074-4350
(405) 614-2846
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1004
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200090180A
—
OK
Enumeration date
07/20/2006
Last updated
03/17/2018
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