| Jean M Wavrin Mft Llc | |
|
101 Aupuni St Ste 108 Hilo HI 96720-4260 | |
| (808) 896-3788 | |
| Not Available |
| Full Name | Jean M Wavrin Mft Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 Aupuni St Ste 108, Hilo, Hawaii |
| Authorized Official Name and Position | Jean M Wavrin (MARRIAGE AND FAMILY THERAPIST OWNER) |
| Authorized Official Contact | 8088963788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jean M Wavrin Mft Llc Hc 2 Box 5686 Keaau HI 96749-9406 Ph: (808) 896-3788 | Jean M Wavrin Mft Llc 101 Aupuni St Ste 108 Hilo HI 96720-4260 Ph: (808) 896-3788 |
| NPI Number | 1750130928 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/17/2024 |
| Certification Date | 05/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750130928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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