Individual
MS. JAN FRADENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
74-5622 ALAPA ST, SUITE 202, KAILUA KONA, HI 96740-3108
(808) 345-2429
(808) 325-1313
Mailing address
PO BOX 161, HOLUALOA, HI 96725-0161
(808) 345-2429
(808) 325-1313
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT - 8
HI
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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