Individual
JAYME MICAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
1151 NORTH HIGHWAY 69, STRINGTOWN, OK 74569
(580) 346-7301
(580) 346-7214
Mailing address
PO BOX 20, STUART, OK 74570-0020
(918) 820-0417
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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