Individual
JEANETTE MARIE CLARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC 799
Contact information
Practice address
81-6587 MAMALAHOA HWY, BLDG C, KEALAKEKUA, HI 96750
(808) 323-2664
Mailing address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
799
HI
Other
Enumeration date
08/02/2017
Last updated
07/17/2023
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