IndividualActive
Jordan Jefferson, AA
NPI 1285284232 · Addiction (Substance Use Disorder) Counselor · Kahuku, HI
Provider details
- NPI number
- 1285284232
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- AA
- Sex
- Male
- Sole proprietor
- No
Practice location
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Phone: (808) 293-7555
Fax: (808) 293-7196
Mailing address
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Registry dates
- Enumerated
- 2019-09-11
- Last updated
- 2019-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.