Individual
JADA KENNICE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
104 S COSTELLO STREET, WALTHILL, NE 68067
(402) 846-5533
Mailing address
2641 S 70TH ST STE A, LINCOLN, NE 68506-2912
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12597
NE
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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