Wisdom, Jason Donald

Wisdom, Jason Donald is an sole proprietor health care provider with primary practice located at 98-501 Koauka Loop Apt 305 , Aiea HI 96701-4560. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Wisdom, Jason Donald can be contacted via phone (360) 470-2183.

Contact Information

Primary practice address
98-501 Koauka Loop Apt 305 Aiea HI 96701-4560
Phone: (360) 470-2183
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT-805 Hawaii
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA-610 Hawaii

Profile Details

NPI number 1871259366
LBN Legal business name Wisdom, Jason Donald
Credentials MA, MED., LMFT, BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2021
Last updated Jul 26th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871259366 NPPES
Hawaii MEDICAID 003128

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