Individual
DR. C. JARNIE W.J. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
101 AUPUNI STREET, SUITE 119, HILO, HI 96720
(808) 961-3616
Mailing address
101 AUPUNI STREET, SUITE 119, HILO, HI 96720
(808) 961-3616
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
327
HI
103TC1900X
Counseling Psychologist
327
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C0026660
HMSA QUEST
HI
05
—
02397901
—
HI
Enumeration date
10/05/2006
Last updated
03/03/2011
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