Individual provider · Type 1 NPI
De'audra Jackson Whiting, LCDC
Addiction (Substance Use Disorder) Counselor · Magnolia, TX
NPI number
1649558602
Active
Practice location
402 Sagebrush Ln
Magnolia, TX 77354-1736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9347 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1649558602
De'audra Jackson Whiting, LCDC's National Provider Identifier is 1649558602, issued on Jul 25, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Magnolia, TX. The record was last updated on Jul 25, 2011.