Individual
MRS. JESSICA JOHANNA NALANI WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
87-135 PUALEILANI ST, WAIANAE, HI 96792-3697
(808) 207-0637
(626) 565-2087
Mailing address
PO BOX 13056, AIEA, HI 96701-8556
(808) 207-0637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-4450
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800221
—
HI
Enumeration date
07/29/2019
Last updated
09/05/2024
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