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General NPI Number Information
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NPI Number | 1770434938
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Entity Type | Organization
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Legal Business Name | KUPONO OLA COUNSELING, LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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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 | 808-798-2179
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Fax |
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Provider Business Mailing Address
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Address Line | 95-390 KUAHELANI AVE STE 3AC
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City | MILILANI
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State | HI
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Zip | 96789-1190
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Country | US
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Telephone | 808-798-2179
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. GARRET TAKAHASHI
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Credential | LMFT
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Telephone | 808-798-2179
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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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