MEDICARE: TERRICITIA F WHITE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		MS

General Provider Information

NPI Number	:	1770445447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERRICITIA F WHITE

Provider Business Mailing Address
First Line	:	860 E RIVER PL STE 100
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39202-3442
Country	:	US
Telephone Number	:	228-466-4690
Fax Number	:

Provider Business Practice Location Address
First Line	:	860 E RIVER PL STE 100
Second Line	:
City	:	JACKSON
State	:	MS
Zip	:	39202-3442
Country	:	US
Telephone Number	:	228-466-4690
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2025
Last Update Date	:	12/01/2025

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Directions to “ TERRICITIA F WHITE ” Practice Location

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