Individual
MR. JACOB BAINBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
45-021 LIKEKE PLACE, KANEOHE, HI 96744
(808) 235-1377
(808) 235-1074
Mailing address
2640 IPULEI PL, HONOLULU, HI 96816-3508
(808) 377-0108
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/13/2013
Last updated
08/13/2013
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