| Doctor Name: | MRS. JENNIFER ANNE WHITE |
| NPI Number: | 1174898027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC, MA, NCC |
| License Number: | 60354447 |
| Business Practice Address: | 19655 1st Ave S Suite 206 Normandy Park, WA - 981482166 |
| Business Phone Number: | 4253123791 |
| Business Fax Number: | |
| Mailing Address: | 31122 36th Ave Sw, FEDERAL WAY |
| State: | WA |
| Postal Code: | 980234001 |
| Phone Number: | 7192915644 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2012 |
| NPI Last Update Date: | 08/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 60354447 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |