Individual
JAYSHAWN WILHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9086
Mailing address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/28/2020
Last updated
06/03/2024
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