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General NPI Number Information
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NPI Number | 1518717644
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Entity Type | Organization
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Legal Business Name | THOMAS J JAMESON FAMILY COUNSELING
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 78-6831 ALII DR E-234 #210
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City | KAILUA KONA
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State | HI
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Zip | 96740
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Country | US
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Telephone | 808-796-0887
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1057
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City | KEALAKEKUA
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State | HI
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Zip | 96750-1057
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Country | US
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Telephone | 808-796-0887
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Fax |
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Authorized Official
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Title or Position | MHC
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Name | THOMAS JAMESON
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Credential | MHC
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Telephone | 808-796-0887
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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