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General NPI Number Information
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NPI Number | 1619795531
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Entity Type | Organization
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Legal Business Name | GARRISS AKIONA LCSW LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 99-080 KAUHALE ST STE C20
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City | AIEA
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State | HI
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Zip | 96701-4114
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Country | US
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Telephone | 808-953-4682
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Fax |
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Provider Business Mailing Address
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Address Line | 1511 NUUANU AVE UNIT 20
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City | HONOLULU
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State | HI
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Zip | 96817-3702
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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 | GARRISS NOLANLIU AKIONA
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Credential |
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Telephone | 808-386-9173
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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 |
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License Number State |
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