Individual
JACQUELINE SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15-1692 9TH AVE, KEAAU, HI 96749-5081
(808) 462-3638
Mailing address
15-1692 9TH AVE, KEAAU, HI 96749-5081
(808) 462-3638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
294
HI
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
01/02/2026
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