# JEANNIE KUAN YEE CHAN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780343582
- **Authorized official:** JEANNIE KUAN YEE CHAN (LICENSED MFT)
- **Authorized official phone:** (808) 223-7374

## Contact information

- **Practice address:** 98-211 PALI MOMI ST STE 635, AIEA, HI 96701-4322
- **Practice address phone:** (808) 223-7374
- **Mailing address:** PO BOX 612, PEARL CITY, HI 96782-0612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2021
- **Last updated:** 12/09/2021