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General NPI Number Information
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NPI Number | 1427413707
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Entity Type | Organization
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Legal Business Name | FAMILY AND ADDICTION COUNSELING, LLC
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1888 KALAKAUA AVE STE C312
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City | HONOLULU
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State | HI
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Zip | 96815-1550
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Country | US
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Telephone | 808-494-6066
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Fax | 808-797-3643
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Provider Business Mailing Address
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Address Line | 1888 KALAKAUA AVE STE C312
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City | HONOLULU
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State | HI
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Zip | 96815-1550
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Country | US
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Telephone | 808-494-6066
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Fax | 808-797-3643
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Authorized Official
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Title or Position | DIRECTOR
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Name | GLEN CARNER
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Credential | LMHC
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Telephone | 808-494-6066
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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 | MHC-351
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License Number State | HI
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