Jacobs-White, Karen Michelle
Jacobs-White, Karen Michelle is an individual health care provider with primary practice located at 1311 N Dixie Hwy , Elizabethtown KY 42701-2621. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jacobs-White, Karen Michelle can be contacted via phone (270) 769-1304.Contact Information
Primary practice address
1311 N Dixie Hwy
Elizabethtown KY 42701-2621
Phone: (270) 769-1304
Fax: (270) 234-8028
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | KY-0179 | Kentucky |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0751 | Kentucky |
Profile Details
| NPI number | 1073552337 |
|---|---|
| LBN Legal business name | Jacobs-White, Karen Michelle |
| Credentials | LPCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Sep 28th, 2011 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073552337 | NPPES |
| Kentucky | Other | 341177 | TRICARE |
| Kentucky | Other | 000000338947 | TRICARE |
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