Healthcare Provider Details

I. General information

NPI: 1669802765
Provider Name (Legal Business Name): ALOHA COUNSELING ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2013
Last Update Date: 11/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94-216 FARRINGTON HWY SUITE A-203
WAIPAHU HI
96797-1922
US

IV. Provider business mailing address

94-216 FARRINGTON HWY SUITE A-203
WAIPAHU HI
96797-1922
US

V. Phone/Fax

Practice location:
  • Phone: 808-680-0558
  • Fax: 808-680-0500
Mailing address:
  • Phone: 808-680-0558
  • Fax: 808-680-0500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY1390
License Number StateHI

VIII. Authorized Official

Name: DR. JAY D. VALDEZ
Title or Position: OWNER/CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 808-680-0558