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Individual

JACQUELINE MONTERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSAC, ICRC, LMHC

Contact information

Practice address
350 AOLOA ST APT A232, KAILUA, HI 96734-3056
(808) 861-7527
Mailing address
350 AOLOA ST APT A232, KAILUA, HI 96734-3056
(808) 861-7527

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2065-19
HI
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
MHC-915
HI

Other

Enumeration date
08/03/2021
Last updated
12/04/2022
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