Individual
JAMIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 OAK ST, KENOVA, WV 25530-1119
(304) 908-1056
Mailing address
12283 US ROUTE 60, ONA, WV 25545-7029
(304) 521-3189
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/29/2021
Last updated
04/15/2026
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