Individual provider · Type 1 NPI
Jason White
Mental Health Counselor · Lawrenceville, GA
NPI number
1164728879
Active
Practice location
595 Old Norcross Rd, Suite B
Lawrenceville, GA 30046-3327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1164728879
Jason White's National Provider Identifier is 1164728879, issued on Jan 28, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrenceville, GA. The record was last updated on Jan 28, 2011.