Jessica White
Counselor, Mental Health in Tampa, FL. Individual provider (NPI-1).
NPI number1013677574
StatusActive
Last updated in NPPESDec 26, 2021
Details
- NPI
- 1013677574
- Entity type
- Individual (NPI-1)
- Name
- Jessica White
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 26, 2021
- Certification date
- Dec 26, 2021
- Last updated
- Dec 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
2907 W Bay To Bay Blvd Ste 207Tampa, FL 33629-8161
Phone 813-803-2230
Mailing address
5722 Erhardt DrRiverview, FL 33578-3700
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