White, Tara Jane

White, Tara Jane is an individual health care provider with primary practice located at 550 E Washington Blvd , Crescent City CA 95531-8342. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. White, Tara Jane can be contacted via phone (707) 465-6925.

Contact Information

Primary practice address
550 E Washington Blvd Crescent City CA 95531-8342
Phone: (707) 465-6925
Fax: (707) 465-6070
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS17611 California

Profile Details

NPI number 1164515805
LBN Legal business name White, Tara Jane
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 12th, 2007 - about 19 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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