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Individual

MRS. JAN KANANI THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSCP,NCC,LMHC,CSAC

Contact information

Practice address
357 ULUA ROAD, KAUNAKAKAI, HI 96748-1751
(808) 741-3223
Mailing address
PO BOX 1751, KAUNAKAKAI, HI 96748-1751
(808) 553-5556

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1117-02
HI
101YA0400X
Addiction (Substance Use Disorder) Counselor
22453
HI
101YM0800X
Mental Health Counselor
Primary
24
HI
101YM0800X
Mental Health Counselor
60478
HI

Other

Enumeration date
07/30/2008
Last updated
10/13/2011
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