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General NPI Number Information
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NPI Number | 1245628338
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Entity Type | Organization
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Legal Business Name | COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/26/2014
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 1314 S KING ST STE 603
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City | HONOLULU
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State | HI
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Zip | 96814-1941
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Country | US
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Telephone | 808-377-6656
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 SOUTH KING STREET, STE. 603
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City | HONOLULU
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State | HI
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Zip | 96814
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Country | US
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Telephone | 808-377-6656
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. WILLIAM HUDSPETH
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Credential | LCSW/CSAC/SAP
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Telephone | 808-377-6656
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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 | LCSW #3984
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License Number State | HI
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