Provider Demographics
NPI:1518196922
Name:SANTOS, JADE
Entity Type:Individual
Prefix:MS
First Name:JADE
Middle Name:
Last Name:SANTOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 ALAKEA ST. 9TH FL
Mailing Address - Street 2:
Mailing Address - City:HONOLLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-523-7771
Mailing Address - Fax:808-523-1997
Practice Address - Street 1:1100 ALAKEA ST. 9TH FL
Practice Address - Street 2:
Practice Address - City:HONOLLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-523-7771
Practice Address - Fax:808-523-1997
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor