Individual
JACQUELINE CAROL VAN LOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC LICENSED PROFESS
Contact information
Practice address
1500 SO BERETANIA ST, SUITE 403, HONOLULU, HI 96826
(808) 945-3690
(808) 945-2811
Mailing address
1500 SO BERETANIA ST, SUITE 403, HONOLULU, HI 96826
(808) 945-3690
(808) 945-2811
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2084
OR
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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