Organization
JEANETTE EVANS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEANETTE CHRISTINE EVANS DCSW, LCSW (PRESIDENT)
(808) 244-6881
Entity
Organization
Contact information
Practice address
55 N CHURCH ST, SUITE #2, WAILUKU, HI 96793-1682
(808) 244-6881
Mailing address
3095 KEKAULIKE AVE, KULA, HI 96790-8483
(808) 244-6881
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
501
HI
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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