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Individual

JENNIFER WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
525 W OAK ST, FORT COLLINS, CO 80521-2612
(970) 494-4300
(970) 454-4301
Mailing address
525 W OAK ST, FORT COLLINS, CO 80521-2612
(970) 494-4300
(970) 454-4301

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
644
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
644
LCSW
CO
Enumeration date
08/23/2006
Last updated
07/08/2007
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