National Provider Identifier
Jordan Lewis Jefferson, AA
Jordan Lewis Jefferson, AA is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Kahuku, HI and a listed phone number of (808) 293-7555.
Source: public NPPES record, last updated September 11, 2019. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1285284232
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- September 11, 2019
- Last Updated
- September 11, 2019
Practice Location
- 56-660 Kamehameha Hwy
- Kahuku, HI 96731-2210
Phone: (808) 293-7555
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Jordan Lewis Jefferson, AA, is a behavioral health provider in Kahuku, Hawaii, with a public provider record identifying his work in addiction counseling for substance use disorders. Public sources do not show additional well-supported details such as formal training, faculty roles, board certification, research, or leadership history.
Full Record
- NPI
- 1285284232
- Entity Type
- Individual
- Last Name
- Jefferson
- First Name
- Jordan
- Middle Name
- Lewis
- Name Prefix
- Mr.
- Credential
- AA
- Mailing Street Address
- 56-660 Kamehameha Hwy
- Mailing City
- Kahuku
- Mailing State
- HI
- Mailing ZIP Code
- 96731-2210
- Mailing Country
- US
- Mailing Phone
- (808) 293-7555
- Mailing Fax
- (808) 293-7196
- Practice Street Address
- 56-660 Kamehameha Hwy
- Practice City
- Kahuku
- Practice State
- HI
- Practice ZIP Code
- 96731-2210
- Practice Country
- US
- Practice Phone
- (808) 293-7555
- Practice Fax
- (808) 293-7196
- Enumeration Date
- September 11, 2019
- Last Updated
- September 11, 2019
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)