Provider Demographics
NPI:1093137382
Name:HURST-JONES, JUNE (PSY, MFT)
Entity Type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:
Last Name:HURST-JONES
Suffix:
Gender:F
Credentials:PSY, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66-892 WANINI ST
Mailing Address - Street 2:
Mailing Address - City:WAIALUA
Mailing Address - State:HI
Mailing Address - Zip Code:96791-9758
Mailing Address - Country:US
Mailing Address - Phone:808-457-1311
Mailing Address - Fax:
Practice Address - Street 1:66-892 WANINI ST
Practice Address - Street 2:
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791-9758
Practice Address - Country:US
Practice Address - Phone:808-457-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-06
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPSY1645103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist