Provider Demographics
NPI:1346584109
Name:PEARS, JEFFREY SCOTT (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:SCOTT
Last Name:PEARS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1936 HALEUKANA ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-8972
Mailing Address - Country:US
Mailing Address - Phone:808-634-9992
Mailing Address - Fax:
Practice Address - Street 1:4303 RICE ST STE C3
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1333
Practice Address - Country:US
Practice Address - Phone:808-634-9992
Practice Address - Fax:808-634-9992
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-456101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health