Provider Demographics
NPI:1306035803
Name:CARLTON-JARMON, CYNTHIA ANN (MFT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:ANN
Last Name:CARLTON-JARMON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 SAND ISLAND ACCESS RD
Mailing Address - Street 2:SUITE #201
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4997
Mailing Address - Country:US
Mailing Address - Phone:808-783-4334
Mailing Address - Fax:808-842-1936
Practice Address - Street 1:197 SAND ISLAND ACCESS RD
Practice Address - Street 2:SUITE #201
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4997
Practice Address - Country:US
Practice Address - Phone:808-783-4334
Practice Address - Fax:808-842-1936
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-19
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI177106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist