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>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1063734127

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
15-1477 22ND AVE.  KEAAU, HI 96749-9509 US
Tel: 808-936-4374  Fax: 808-966-6290

Contact information for business:
HC 1 BOX 5135  KEAAU, HI 96749-9509 US
Tel: 808-936-4374  Fax: 808-966-6290

Registration Information:
NPI: 1063734127
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist

Legacy codes, insurance codes and state license numbers:



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