Provider Demographics
NPI:1659600195
Name:JONES, DARLENE M (LMHC, CSAC)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:M
Last Name:JONES
Suffix:
Gender:F
Credentials:LMHC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95-1063 KAAPEHA ST APT 136
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-4884
Mailing Address - Country:US
Mailing Address - Phone:808-551-5632
Mailing Address - Fax:888-391-9432
Practice Address - Street 1:319 N CANE ST STE A
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2130
Practice Address - Country:US
Practice Address - Phone:808-551-5632
Practice Address - Fax:888-391-9432
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-11
Last Update Date:2011-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI174101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)