Most Relevant Information
Provider Data
| NPI Number: | 1003353194 |
| Provider Name: | SHELENA WHITE |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/26/2017 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
2707 BROWNS LN
JONESBORO
AR
724017213
Practice Location Phone/Fax
| Phone: | 8709724080 |
| Fax: | 8709724905 |
Provider Mailing Location
2707 BROWNS LN
JONESBORO
AR
724017213
Provider Mailing Phone/Fax
| Phone: | 8709724080 |
| Fax: | 8709724905 |