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Jared Ava
Mental Health Counselor in Laie, Hawaii
NPI 1104539444

Jared Ava is a Mental Health Counselor based in Laie, HI and is specialized in Mental Health. Jared Ava practices in Laie, HI. The NPI Number for Jared Ava is 1104539444 and holds a License No. (Hawaii).

The current practice location address for Jared Ava is 55-459 Moana St # A, Laie, HI and can be reached out via phone at 801-410-6797.

Location: 55-459 Moana St # A, Laie, HI, 96762-1123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104539444
Provider Name
Jared Ava
Credential
Provider Entity Type
Individual
Gender
Male
Address
55-459 Moana St # A, Laie, HI, 96762-1123
Phone Number
801-410-6797
Fax Number
Provider Enumeration Date
01/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
55-459 Moana St # A
City
Laie
State
Hawaii
Zip
96762-1123
Phone Number
801-410-6797
Fax Number
person
Provider Business Mailing Address Details
Address
55-459 Moana St # A
City
Laie
State
Hawaii
Zip
96762-1123
Phone Number
801-410-6797
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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