JACK D WHITE

PORTSMOUTH, OH
NPI1255978532
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-12-05
Last Update Date2019-12-05
Business Address
JACK D WHITE CDCA
800 GALLIA ST STE 600
PORTSMOUTH, OH 45662-4097
Phone number: 740-353-4673
Mailing Address
JACK D WHITE CDCA
800 GALLIA ST STE 600
PORTSMOUTH, OH 45662-4097
Phone number: 740-353-4673
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