Most Relevant Information
Provider Data
| NPI Number: | 1003261447 |
| Provider Name: | JEFFREY WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/03/2016 |
| Last Updated: | 01/22/2020 |
Provider Practice Location
2180 JOHNSON AVE
SAN LUIS OBISPO
CA
934014558
Practice Location Phone/Fax
| Phone: | 8057811295 |
| Fax: |
Provider Mailing Location
2180 JOHNSON AVE
SAN LUIS OBISPO
CA
934014558
Provider Mailing Phone/Fax
| Phone: | 8057811295 |
| Fax: |