Individual
JEREMIAH T WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 869-2002
Mailing address
8719 BLESSING DR, POWELL, OH 43065-8814
(614) 314-6684
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.183597
OH
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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