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Organization

NORTH SHORE COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEMMA CANNON (OWNER)
(808) 559-9100
Entity
Organization

Contact information

Practice address
285 HANA HWY, PAIA, HI 96779-9746
(310) 770-7444
Mailing address
PO BOX 320, HAIKU, HI 96708-0320
(808) 559-9100
(808) 707-3166

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
04/11/2024
Last updated
05/02/2026
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