Individual
MR. JASON MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87-1130 OHEOHE ST, WAIANAE, HI 96792-3456
(808) 391-3436
Mailing address
87-1130 OHEOHE ST, WAIANAE, HI 96792-3456
(808) 391-3436
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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