Individual
MS. JORDAN MIKALA EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 671-8511
Mailing address
91-975 WAIHUA PL, EWA BEACH, HI 96706-1867
(808) 419-4619
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4333
HI
Other
Enumeration date
08/18/2015
Last updated
08/11/2023
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