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General NPI Number Information
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NPI Number | 1073552337
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Entity Type | Individual
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Provider Name | KAREN MICHELLE JACOBS-WHITE LPCC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 10 OCONEE WOODS TRL
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City | SHARPSBURG
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State | GA
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Zip | 30277-4611
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Country | US
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Telephone | 470-662-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 10 OCONEE WOODS TRL
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City | SHARPSBURG
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State | GA
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Zip | 30277-4611
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Country | US
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Telephone | 470-662-0045
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | KY-0179
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC012587
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License Number State | GA
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