Individual
MR. JAKOB KALI LAIRSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCP
Contact information
Practice address
95-104 KAWAU ST, MILILANI, HI 96789-1544
(808) 429-8176
Mailing address
95-104 KAWAU ST, MILILANI, HI 96789-1544
(808) 429-8176
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
HI
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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