Individual provider · Type 1 NPI
Jordan Lewis Jefferson, AA
Addiction (Substance Use Disorder) Counselor · Kahuku, HI
NPI number
1285284232
Active
Practice location
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Fax (808) 293-7196
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1285284232
Jordan Lewis Jefferson, AA's National Provider Identifier is 1285284232, issued on Sep 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Kahuku, HI. The record was last updated on Sep 11, 2019.