| Organization Name: | HEATHER JABLONSKI, LCSW LLC |
| NPI Number: | 1417217126 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEATHER JABLONSKI (MANAGER/OWNER) |
| Mailing Address: | 66-250 Kamehameha Hwy Ste D204 Haleiwa |
| State: | HI US |
| Postal Code: | 967121470 |
| Phone Number: | 8083915617 |
| Fax Number: | |
| NPI Enumeration Date: | 05/29/2012 |
| NPI Last Update Date: | 05/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-3178 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |