Individual
JASUN SULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
891 ULULANI ST, HILO, HI 96720-3982
(808) 443-9600
Mailing address
PO BOX 11183, HILO, HI 96721-6183
(808) 443-9600
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
545
HI
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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