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NPI 1134838691

NPI 1134838691 : HO'OKUPU COUNSELING SERVICES : WAILUKU, HI

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General NPI Number Information
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    NPI Number           |    1134838691
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    Entity Type          |    Organization 
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    Legal Business Name  |    HO'OKUPU COUNSELING SERVICES 
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Dates
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    Enumeration Date     |    11/22/2022
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    Last Update Date     |    11/22/2022
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Provider Practice Location Address
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    Address Line         |    334 LIHOLIHO ST. 
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    City                 |    WAILUKU
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    State                |    HI
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    Zip                  |    96793
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    Country              |    US
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    Telephone            |    808-250-2431
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    334 LIHOLIHO ST 
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    City                 |    WAILUKU
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    State                |    HI
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    Zip                  |    96793-2510
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    Country              |    US
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    Telephone            |    808-250-2431
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MARRIAGE AND FAMILY THERAPIST
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    Name                 |     STEVEN R. NAGASAKA 
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    Credential           |    MFT
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    Telephone            |    808-385-9385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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