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1316308471
JEFFERY WHITE
VISALIA, CA
NPI
1316308471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A042360916)
Enumeration Date
2016-03-16
Last Update Date
2019-09-25
Business Address
JEFFERY WHITE
3107 E KAWEAH AVE
VISALIA, CA 93292-3309
Phone number: 559-754-2705
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Mailing Address
JEFFERY WHITE
120 W SCHOOL AVE
VISALIA, CA 93291-4925
Phone number: 559-625-4100
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