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JACQUELYN WHITE NPI 1003211319


NPI Information

NPI: 1003211319
Provider Name: JACQUELYN WHITE
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
720 WOOD ST
EUREKA, CA
ZIP 95501
Phone: (707) 268-2990
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Jacquelyn White is a mental health counselor in Eureka, CA. Jacquelyn White NPI is 1003211319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

720 WOOD ST
EUREKA, CA
ZIP 95501-413
Phone: (707) 268-2990

The enumeration date for this NPI number is 10/29/2014 and was last updated on 5/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health102856CALIFORNIAYes
2171M00000XCase Manager/Care CoordinatorNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/15/2022

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.