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Jack White, L.P.C
NPI 1053522383 · on the registry since 2007 · sole proprietor
Practice
- Address
- 420 Jackson Keller Rd
2255 Horal
San Antonio, TX 78216 - Phone
- (210) 377-3138
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas