Individual provider · Type 1 NPI
Dominique White, LPC, CRC
Counselor · Jonesboro, AR
NPI number
1952095085
Active
Practice location
1809 Aggie Rd
Jonesboro, AR 72401
Mailing address
PO Box 292
State University, AR 72467-0292
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | P2107003 (AR) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1952095085
Dominique White, LPC, CRC's National Provider Identifier is 1952095085, issued on Jun 2, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Jonesboro, AR. The record was last updated on Jun 2, 2023.