JOHANNA JACQUELINE ANCHETA
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1265884019- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5333 PUAHIA PL, HONOLULU, HI, 968211543
- Phone
- (808) 343-0093
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: NJ #A58664067159892
Social Worker, Clinical
Primary License: MI #6801116976