Individual
MRS. JESSICA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, CSAC
Contact information
Practice address
98-211 PALI MOMI ST STE 635, AIEA, HI 96701-4322
(808) 518-1707
Mailing address
98-211 PALI MOMI ST STE 635, AIEA, HI 96701-4322
(808) 518-1707
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-637
HI
Other
Enumeration date
05/16/2020
Last updated
11/09/2021
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