Individual provider · Type 1 NPI

Jecolia White

Mental Health Counselor · Concord, NC

NPI number 1336484591 Active

Practice location

280 Executive Park Dr.
Concord, NC 28025

Call (704) 785-8282 Map

Mailing address

280 Executive Park Dr, Suite 100
Concord, NC 28025

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1336484591

Jecolia White's National Provider Identifier is 1336484591, issued on Nov 29, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, NC. The record was last updated on Nov 29, 2012.