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General NPI Number Information
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NPI Number | 1699106765
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Entity Type | Individual
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Provider Name | JACKIE FEATHERS M.S., NCC
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Gender | Female
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Dates
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Enumeration Date | 11/27/2013
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 4380 HANAMAULU RD
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City | LIHUE
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State | HI
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Zip | 96766-9162
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Country | US
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Telephone | 808-241-3165
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Fax |
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Provider Business Mailing Address
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Address Line | 2090 HANALIMA ST. BB204
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City | LIHUE
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State | HI
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Zip | 96766
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Country | US
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Telephone | 785-285-1654
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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