Jonathan Blake White
Jonathan Blake White is a Mental Health Counselor in Poteau, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
2706 N Broadway StPoteau, OK 74953-5402
Phone: (918) 647-0485
Fax: (918) 647-0571
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1194151142 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 23, 2013 |
| Last updated in NPPES | September 23, 2013 |
| Mailing address | 2706 N Broadway St, Poteau, OK 74953-5402 |
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