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Jason White
Mental Health Counselor in Lawrenceville, Georgia
NPI 1164728879

Jason White is a Mental Health Counselor based in Lawrenceville, GA and is specialized in Mental Health. Jason White practices in Lawrenceville, GA. The NPI Number for Jason White is 1164728879 and holds a License No. (Georgia).

The current practice location address for Jason White is 595 Old Norcross Rd, Lawrenceville, GA and can be reached out via phone at 770-995-6901.

Location: 595 Old Norcross Rd, Lawrenceville, GA, 30046-3327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164728879
Provider Name
Jason White
Credential
Provider Entity Type
Individual
Gender
Male
Address
595 Old Norcross Rd, Lawrenceville, GA, 30046-3327
Phone Number
770-995-6901
Fax Number
Provider Enumeration Date
01/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
595 Old Norcross Rd
City
Lawrenceville
State
Georgia
Zip
30046-3327
Phone Number
770-995-6901
Fax Number
person
Provider Business Mailing Address Details
Address
595 Old Norcross Rd
City
Lawrenceville
State
Georgia
Zip
30046-3327
Phone Number
770-995-6901
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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