MS. DE'AUDRA JACKSON WHITING LCDC NPI 1649558602

NPI Information

  • NPI: 1649558602
  • Provider Name: MS. DE'AUDRA JACKSON WHITING, LCDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 402 SAGEBRUSH LN
    MAGNOLIA, TX
    ZIP 77354
  • Phone: (832) 659-1224

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NPI Details

MS. De'audra Jackson Whiting, LCDC is an addiction (substance use disorder) counselor in Magnolia, TX. MS. De'audra Jackson Whiting, LCDC NPI is 1649558602. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

402 SAGEBRUSH LN
MAGNOLIA, TX
ZIP 77354-736
Phone: (832) 659-1224

The enumeration date for this NPI number is 7/25/2011 and was last updated on 7/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)9347TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19347OTHERTEXASLICENSED CHEMICAL DEPENDENCY COUNSELOR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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