Individual
MR. CHRISTOPHER JARED WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
300 N 7TH AVE, POCATELLO, ID 83201
(208) 904-1950
(208) 904-1953
Mailing address
19B MOUNTAIN DR, POCATELLO, ID 83204-4724
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-35850
ID
Other
Enumeration date
07/24/2016
Last updated
08/17/2018
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