Jack D White, CDCA
Jack D White, CDCA is an Addiction (Substance Use Disorder) Counselor in Portsmouth, Ohio. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
800 Gallia St Ste 600Portsmouth, OH 45662-4097
Phone: (740) 353-4673
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1255978532 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | No |
| NPI enumerated | December 5, 2019 |
| Last updated in NPPES | December 5, 2019 |
| Mailing address | 800 Gallia St Ste 600, Portsmouth, OH 45662-4097 |
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