Individual
JAZMIN A WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5275 CLAREMONT AVE, OAKLAND, CA 94618-1032
(510) 428-3885
Mailing address
201 COGGINS DR APT B109, PLEASANT HILL, CA 94523-4567
(707) 805-1058
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162380
—
CA
Enumeration date
05/12/2019
Last updated
06/11/2019
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