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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON DONALD WISDOM, MA, MED., LMFT, BCBA

Active Sole Proprietor

Marriage & Family Therapist · AIEA, HI

Registration Details

NPI Number
1871259366
Provider Type
Individual
Gender
Male
NPI Issued
Nov 9, 2021 (4.4893354670769 yrs)
Last Updated
Jul 26, 2023
Licenses
MFT-805 (HI)
BA-610 (HI)
Sole Proprietor
Yes

Practice Information

Address
98-501 KOAUKA LOOP APT 305
AIEA, HI, 967014560
Browse HI providers · Browse ZIP 96701
Phone
3604702183
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Behavior Analyst

Other Marriage & Family Therapist Providers in AIEA, HI

Name Credential NPI
MS. TERESA ANN LATHROP M.F.T. 1780635383
MR. WALTER FREDERICK REED MFT, CSAC 1619013497
MS. CYNTHIA L QUINN MFT 1528109329
MS. JEANNIE KUAN YEE CHAN MFT 1174798763
JAIME VALLETE MA 1225282205
MS. SHEA YUKI NAKAMURA LMFT 1194016998
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.