Individual
JEREMIAH MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A
Contact information
Practice address
2366 PUU MALA PL, KIHEI, HI 96753-7146
(808) 269-2357
Mailing address
2366 PUU MALA PL, KIHEI, HI 96753-7146
(808) 269-2357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/13/2015
Last updated
08/13/2015
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