Individual
CHERYL JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
120 KEAWE ST, SUITE 204J, BOX 232, HILO, HI 96720-2874
(808) 935-9396
(808) 935-9996
Mailing address
120 KEAWE ST, SUITE 204J, BOX 232, HILO, HI 96720-2874
(808) 935-9396
(808) 935-9996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC324
HI
Other
Enumeration date
08/22/2011
Last updated
08/14/2015
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