Individual
PATTI JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.COUNSELING, SSW
Contact information
Practice address
615 PIIKOI STREET, # 203, HONOLULU, HI 96814
(808) 589-1829
Mailing address
87-3184 LEA RD, CAPTAIN COOK, HI 96704-8724
(808) 328-2480
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2072
—
104100000X
Social Worker
7240462-3503
UT
Other
Enumeration date
03/06/2009
Last updated
03/27/2009
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