Individual provider · Type 1 NPI

Jonathan Kawikakele Carraher

Mental Health Counselor · Cottage Grove, OR

NPI number 1417429911 Active

Practice location

1345 Birch Ave
Cottage Grove, OR 97424-1416

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1417429911

Jonathan Kawikakele Carraher's National Provider Identifier is 1417429911, issued on Dec 20, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottage Grove, OR. The record was last updated on Dec 20, 2018.