Individual
JEANETTE N MANAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCP, NBCC, MHC
Contact information
Practice address
98-940 MOANALUA RD, AIEA, HI 96701-5011
(808) 305-9300
Mailing address
3147 MAGNOLIA PLACE, HONOLULU, HI 96816, HONOLULU, HI 96816
(808) 382-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-275
HI
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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