Individual
JESSICA KAHANAOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(720) 512-1687
Mailing address
4851 INDEPENDENCE ST, WHEAT RIDGE, CO 80033-6715
(303) 432-5234
(303) 432-5071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD.0001126
CO
101YP2500X
Professional Counselor
Primary
LPC.0015758
CO
Other
Enumeration date
09/22/2016
Last updated
02/17/2025
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