MEDICARE: MR. DAVID TA WEI MCGUE M.S., L.M.H.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MHC - 248	HI
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588857742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID TA WEI MCGUE M.S., L.M.H.C.

Provider Business Mailing Address
First Line	:	94-1462 LANIKUHANA AVE APT 370
Second Line	:
City	:	MILILANI
State	:	HI
Zip	:	96789-2426
Country	:	US
Telephone Number	:	808-381-0139
Fax Number	:

Provider Business Practice Location Address
First Line	:	1465 30TH ST
Second Line	:	SUITE L
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-3497
Country	:	US
Telephone Number	:	808-381-0139
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2007
Last Update Date	:	02/05/2014

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