Individual
MR. JOHN RICHARD LEARY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
277 OHUA AVE, HONOLULU, HI 96815-6612
(808) 922-4787
Mailing address
44-174 LAHA ST, APT.1, KANEOHE, HI 96744-2636
(808) 275-7805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1612-11
HI
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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