Organization
JENNI BATALUCCO, MFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNNE BATALUCCO MFT (MARRIAGE AND FAMILY THERAPIST)
(808) 975-9674
Entity
Organization
Contact information
Practice address
3424A POIPU RD, KOLOA, HI 96756-9522
(858) 414-0096
Mailing address
PO BOX 1358, KOLOA, HI 96756-1358
(858) 414-0096
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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