Individual
JENNIFER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
71 US ROUTE 1 STE H, SCARBOROUGH, ME 04074-7174
(207) 774-3540
Mailing address
1307 GATEWAY CIR, SCARBOROUGH, ME 04074-5525
(309) 825-2543
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
XL6951
ME
101YM0800X
Mental Health Counselor
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Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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