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General NPI Number Information
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NPI Number | 1063166767
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Entity Type | Organization
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Legal Business Name | MNI COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 220 IMI KALA ST STE 203E
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City | WAILUKU
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State | HI
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Zip | 96793-1209
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Country | US
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Telephone | 808-276-7243
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 790445
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City | PAIA
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State | HI
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Zip | 96779-0445
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Country | US
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Telephone | 808-276-7243
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELE R NAVARRO ISHIKI
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Credential | LCSW
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Telephone | 808-276-7243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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