Individual
JARASKI WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12097 OLD HAMMOND HWY STE I4, BATON ROUGE, LA 70816
(225) 246-8816
Mailing address
2544 IOWA ST, BATON ROUGE, LA 70802-7741
(225) 406-2363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60072433
—
LA
Enumeration date
08/05/2016
Last updated
06/26/2018
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