| Jessie White Psychotherapy Pllc | |
|
4501 S 2nd St Austin TX 78745-1950 | |
| (770) 374-9161 | |
| Not Available |
| Full Name | Jessie White Psychotherapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4501 S 2nd St, Austin, Texas |
| Authorized Official Name and Position | Jessica Rae White (SOLE MEMBER) |
| Authorized Official Contact | 5129564670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie White Psychotherapy Pllc 4501 S 2nd St Austin TX 78745-1950 Ph: (770) 374-9161 | Jessie White Psychotherapy Pllc 4501 S 2nd St Austin TX 78745-1950 Ph: (770) 374-9161 |
| NPI Number | 1376208405 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Certification Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376208405 | NPI | - | NPPES |
| 1154948495 | Other | TX | SOLE PROPRITER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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