Individual
MR. JEREMIAH SHAWN BRENNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LCSW, CSAC
Contact information
Practice address
302 CALIFORNIA AVE, SUITE 212, WAHIAWA, HI 96786-1841
(808) 688-8020
Mailing address
PO BOX 37041, HONOLULU, HI 96837-0041
(808) 688-8020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1785-13
HI
104100000X
Social Worker
2171
HI
1041C0700X
Clinical Social Worker
Primary
4170
HI
Other
Enumeration date
12/15/2014
Last updated
09/29/2023
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