Individual provider · Type 1 NPI

Jacqueline White, CIT

Addiction (Substance Use Disorder) Counselor · Monroe, LA

NPI number 1073125696 Active

Practice location

2321 Highway 80 E
Monroe, LA 71203-9366

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X4137 (LA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X4137 (LA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1073125696

Jacqueline White, CIT's National Provider Identifier is 1073125696, issued on Aug 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Monroe, LA. The record was last updated on Feb 15, 2022.