Individual
JENNIFER WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
391 BROADWAY APT 303, SOMERVILLE, MA 02145-2310
(617) 391-9329
Mailing address
391 BROADWAY APT 303, SOMERVILLE, MA 02145-2310
(617) 391-9329
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
10/26/2010
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