| Doctor Name: | MRS. JAN KANANI THOMAS |
| NPI Number: | 1720244718 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSCP,NCC,LMHC,CSAC |
| License Number: | 1117-02 |
| Business Practice Address: | 357 Ulua Road Kaunakakai, HI - 967481751 |
| Business Phone Number: | 8087413223 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1751, KAUNAKAKAI |
| State: | HI |
| Postal Code: | 967481751 |
| Phone Number: | 8085535556 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 10/13/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1117-02 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |