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Mr. Jack Arnold White, LPC
Professional Counselor in San Antonio, Texas
NPI 1053522383

Jack Arnold White is a Professional Counselor based in San Antonio, TX and is specialized in Professional. Jack Arnold White practices in San Antonio, TX and has the professional credentials of LPC. The NPI Number for Jack Arnold White is 1053522383 and holds a License No. 10607 (Texas).

The current practice location address for Jack Arnold White is 420 Jackson Keller Rd, San Antonio, TX and can be reached out via phone at 210-377-3138.

Location: 420 Jackson Keller Rd, San Antonio, TX, 78216-7147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053522383
Provider Name
Jack Arnold White
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
420 Jackson Keller Rd, San Antonio, TX, 78216-7147
Phone Number
210-377-3138
Fax Number
Provider Enumeration Date
05/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
84010L 01 TX BLUECROSS BLUESHIELD
institution
Provider Business Practice Location Address Details
Address
420 Jackson Keller Rd
City
San Antonio
State
Texas
Zip
78216-7147
Phone Number
210-377-3138
Fax Number
person
Provider Business Mailing Address Details
Address
420 Jackson Keller Rd
City
San Antonio
State
Texas
Zip
78216-7147
Phone Number
210-377-3138
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
10607 (Texas)
Definition
Definition to come...
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