Jacob White III is a Peer Specialist based in Mansfield, OH. Jacob White III practices in Columbus, OH. The NPI Number for Jacob White III is 1295391944 and holds a License No. (Ohio).
The current practice location address for Jacob White III is 16 W Long St, Columbus, OH and can be reached out via phone at 614-225-0980.
Location: 16 W Long St, Columbus, OH, 44903-1900
Provider Profile Details
NPI Number
1295391944
Provider Name
Jacob White III
Credential
Provider Entity Type
Individual
Gender
Male
Address
16 W Long St, Columbus, OH, 44903-1900
Phone Number
614-225-0980
Fax Number
Provider Enumeration Date
05/17/2019
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
16 W Long St
City
State
Zip
43215-2815
Phone Number
614-225-0980
Fax Number
Provider Business Mailing Address Details
Address
16 W Long St
City
State
Zip
43215-2815
Phone Number
614-225-0980
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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