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1023640059
DANIEL JERMAIN WHITE
SAN JOSE, CA
NPI
1023640059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2020-02-07
Last Update Date
2020-02-07
Business Address
DANIEL JERMAIN WHITE
2001 THE ALAMEDA
SAN JOSE, CA 95126-1136
Phone number: 408-261-7777
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Mailing Address
DANIEL JERMAIN WHITE
580 CHARLES ST
SAN JOSE, CA 95112-1424
Phone number: 408-417-3479
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