Individual
JACQUELINE ROSE CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27 PALIMALU DR, KUHUNA-SPECTRUM JOINT VENTURE, HONOLULU, HI 96817-1002
(808) 548-0727
Mailing address
202 COTTONWOOD CT, RINCON, GA 31326-9799
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000734
CT
106H00000X
Marriage & Family Therapist
Primary
001112
CT
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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