Provider Demographics
NPI:1427871433
Name:RANIS, JONELLE (MFT)
Entity type:Individual
Prefix:
First Name:JONELLE
Middle Name:
Last Name:RANIS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1073 WAIKAPUNA ST
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-6430
Mailing Address - Country:US
Mailing Address - Phone:808-954-1121
Mailing Address - Fax:
Practice Address - Street 1:1300 HALONA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2796
Practice Address - Country:US
Practice Address - Phone:808-954-1211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist