Individual provider · Type 1 NPI

Jacquelyn White

Mental Health Counselor · Eureka, CA

NPI number 1003211319 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Call (707) 268-2990 Map

Mailing address

3960 Walnut Dr
Eureka, CA 95503-8938

Other practice locations

  • 3960 Walnut Dr, Eureka, CA 95503-8938 · (707) 268-8722

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X102856 (CA)
Case Manager/Care Coordinator 171M00000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003211319

Jacquelyn White's National Provider Identifier is 1003211319, issued on Oct 29, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Eureka, CA. The record was last updated on May 8, 2019.