| Jamie R. Horton Phd Llc | |
|
1110 University Ave Ste 205 Honolulu HI 96826-1598 | |
| (808) 282-5874 | |
| (888) 377-9159 |
| Full Name | Jamie R. Horton Phd Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1110 University Ave Ste 205, Honolulu, Hawaii |
| Authorized Official Name and Position | Jamie Ronnee Horton Gigante (SINGLE MEMBER LLC OWNER) |
| Authorized Official Contact | 8082825874 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie R. Horton Phd Llc 1330 Wilder Ave Apt 314 Honolulu HI 96822-4272 Ph: (808) 282-5874 | Jamie R. Horton Phd Llc 1110 University Ave Ste 205 Honolulu HI 96826-1598 Ph: (808) 282-5874 |
| NPI Number | 1174148977 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Certification Date | 06/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174148977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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