Individual
MRS. JESSIE LYNN COLTER WHITE I
Active
Individual
MRS. JESSIE LYNN COLTER WHITE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LICDC.162447
OH
104100000X
Social Worker
S.2207406
OH
1041C0700X
Clinical Social Worker
Primary
I.2507167
OH
Other
Enumeration date
09/11/2019
Last updated
08/25/2026
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