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NPI 1205655958

NPI 1205655958 : VICTORIA WONG LMHC LLC : HONOLULU, HI

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General NPI Number Information
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    NPI Number           |    1205655958
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    Entity Type          |    Organization 
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    Legal Business Name  |    VICTORIA WONG LMHC LLC 
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Dates
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    Enumeration Date     |    10/09/2024
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    Last Update Date     |    04/29/2025
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Provider Practice Location Address
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    Address Line         |    1060 YOUNG ST STE 222 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96814-1609
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    Country              |    US
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    Telephone            |    808-219-2447
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 22141 
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    City                 |    HONOLULU
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    State                |    HI
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    Zip                  |    96823-2141
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     VICTORIA  WONG 
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    Credential           |    LMHC
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    Telephone            |    808-219-2447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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