Mr Terrell Jensen White, LMFT is a
Psychologist - Clinical based in Ballard, California. Mr Terrell Jensen White is licensed to practice in California (license number LMFT29341) and his current practice location is
2511 School St, Ballard, California. He can be reached at his office (for appointments etc.) via phone at
(805) 451-1337.
NPI number for Mr Terrell Jensen White is 1801301932 and his current mailing address is 2511 School St, Ballard, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801301932.
Healthcare Provider's Profile
Full Name | Mr Terrell Jensen White |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2511 School St, Ballard, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1801301932
- Provider Enumeration Date: 12/12/2017
- Last Update Date: 08/11/2020
Medical Identifiers
Medical identifiers for Mr Terrell Jensen White such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801301932 | NPI | - | NPPES |
LMFT29341 | Other | CA | STATE LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT29341 (California) | Secondary |
103TC0700X | Psychologist - Clinical | LMFT29341 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Terrell Jensen White is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Terrell Jensen White, LMFT 2511 School St, Ballard, CA 93463 Ph: (805) 451-1337 | Mr Terrell Jensen White, LMFT 2511 School St, Ballard, CA 93463 Ph: (805) 451-1337 |
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