Individual
JERI YVONNE ALLEN-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 BERCUT DR, SACRAMENTO, CA 95811-0131
(916) 440-1500
(916) 440-1514
Mailing address
9384 BOWMONT WAY, ELK GROVE, CA 95758-6549
(209) 327-5665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AP6536
CA
101YP2500X
Professional Counselor
Primary
APCC6536
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2017
Last updated
10/17/2024
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