MEDICARE: JAIME VALLETE MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFT-711	HI

General Provider Information

NPI Number	:	1225282205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME VALLETE MA

Provider Business Mailing Address
First Line	:	PMB 208
Second Line	:	590 FARRINGTON HWY #210
City	:	KAPOLEI
State	:	HI
Zip	:	96707
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	98-030 HEKAHA ST STE 24
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-4911
Country	:	US
Telephone Number	:	808-225-4377
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2008
Last Update Date	:	09/17/2021

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Directions to “ JAIME VALLETE MA” Practice Location

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