Individual provider · Type 1 NPI
Jessica Kahanaoi, MA
Professional Counselor · Wheat Ridge, CO
NPI number
1053860775
Active
Practice location
4851 Independence St
Wheat Ridge, CO 80033-6715
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0001126 (CO) |
| Professional Counselor Primary | 101YP2500X | LPC.0015758 (CO) |
Professional Counselor: Definition to come...
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About NPI 1053860775
Jessica Kahanaoi, MA's National Provider Identifier is 1053860775, issued on Sep 22, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wheat Ridge, CO. The record was last updated on Feb 17, 2025.