Individual
MR. JEFF NICHOLAS WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
814 BLACKBERRY RUN TRL, DALLAS, GA 30132-2131
(719) 930-7844
Mailing address
814 BLACKBERRY RUN TRL, DALLAS, GA 30132-2131
(719) 930-7844
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
014061
GA
Other
Enumeration date
03/27/2024
Last updated
04/12/2024
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