Individual provider · Type 1 NPI

Jan Fradenburg

Marriage & Family Therapist · Kailua Kona, HI

NPI number 1912117953 Active

Practice location

74-5622 Alapa St, Suite 202
Kailua Kona, HI 96740-3108

Fax (808) 325-1313

Mailing address

PO Box 161
Holualoa, HI 96725-0161

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT - 8 (HI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1912117953

Jan Fradenburg's National Provider Identifier is 1912117953, issued on May 22, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Kailua Kona, HI. The record was last updated on Jul 8, 2007.