White, Jacquelyn

White, Jacquelyn is an individual health care provider with primary practice located at 720 Wood St , Eureka CA 95501-4413. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. White, Jacquelyn can be contacted via phone (707) 268-2990.

Contact Information

Primary practice address
720 Wood St Eureka CA 95501-4413
Phone: (707) 268-2990
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 102856 California
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1003211319
LBN Legal business name White, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2014
Last updated May 8th, 2019 - about 7 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.

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