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NPI 1043928294

NPI 1043928294 : AARON COLLINS, LMFT, LLC : KEAAU, HI

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General NPI Number Information
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    NPI Number           |    1043928294
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    Entity Type          |    Organization 
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    Legal Business Name  |    AARON COLLINS, LMFT, LLC 
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Dates
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    Enumeration Date     |    11/07/2022
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    Last Update Date     |    11/07/2022
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Provider Practice Location Address
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    Address Line         |    15-1574 KIELE STREET 
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    City                 |    KEAAU
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    State                |    HI
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    Zip                  |    96749
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    Country              |    US
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    Telephone            |    808-219-0643
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    Fax                  |    808-731-2069
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1361 
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    City                 |    KEAAU
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    State                |    HI
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    Zip                  |    96749-1361
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    Country              |    US
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    Telephone            |    808-640-3404
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    Fax                  |    808-731-2069
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. AARON AKUA COLLINS 
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    Credential           |    LMFT
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    Telephone            |    808-219-0643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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