Individual
JACQUELINE NICOLE WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LASAC
Contact information
Practice address
500 W OLD LINDEN RD, SHOW LOW, AZ 85901-4608
(928) 537-6100
Mailing address
PO BOX 90795, WHITE MOUNTAIN LAKE, AZ 85912-0795
(928) 228-6910
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
917725
AZ
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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