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Jacqueline Rae Rodriguez
Mental Health Counselor in Makawao, Hawaii
NPI 1528773702

Jacqueline Rae Rodriguez is a Mental Health Counselor based in Kula, HI and is specialized in Mental Health. Jacqueline Rae Rodriguez practices in Makawao, HI. The NPI Number for Jacqueline Rae Rodriguez is 1528773702 and holds a License No. (Hawaii).

The current practice location address for Jacqueline Rae Rodriguez is 200 Ike Dr, Makawao, HI and can be reached out via phone at 808-579-8414.

Location: 200 Ike Dr, Makawao, HI, 96790-8821
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528773702
Provider Name
Jacqueline Rae Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Ike Dr, Makawao, HI, 96790-8821
Phone Number
808-579-8414
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 Ike Dr
City
Makawao
State
Hawaii
Zip
96768-9718
Phone Number
808-579-8414
Fax Number
person
Provider Business Mailing Address Details
Address
200 Ike Dr
City
Makawao
State
Hawaii
Zip
96768-9718
Phone Number
808-579-8414
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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