Individual
JEREMY WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3804 WIND RIDGE CT, LAS VEGAS, NV 89129-6478
(808) 927-9977
Mailing address
3804 WIND RIDGE CT, LAS VEGAS, NV 89129-6478
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/03/2015
Last updated
04/20/2016
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