Individual
JODI ANN TAIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
100 KAHELU AVE STE 101, MILILANI, HI 96789-3913
(808) 625-7448
Mailing address
95-1096 KIHENE ST, MILILANI, HI 96789-6527
(808) 722-8345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
665
HI
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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