MEDICARE: JENNIFER P. ASPERILLA LMHC

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	101YM0800X	Mental Health Counselor	MHC666	HI

General Provider Information

NPI Number	:	1376163915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER P. ASPERILLA LMHC

Provider Business Mailing Address
First Line	:	98-030 HEKAHA STREET, SUITE 24
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-4911
Country	:	US
Telephone Number	:	808-753-7483
Fax Number	:

Provider Business Practice Location Address
First Line	:	98-030 HEKAHA STREET, SUITE 24
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-4911
Country	:	US
Telephone Number	:	808-753-7483
Fax Number	:

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

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	04/30/2024

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