Individual
DR. JACKIE JEANNE WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
BSN, ED.D.
Contact information
Practice address
620 JOHN PAUL JONES CIRCLE, PORTSMOUTH, VA 23708-2197
(757) 953-5282
Mailing address
4815 WATERFRONT DRIVE, NORFOLK, VA 23508-2054
(757) 440-0437
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002171
VA
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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