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General NPI Number Information
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NPI Number | 1891557781
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Entity Type | Organization
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Legal Business Name | ISLAND OHANA COUNSELING
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 407 ULUNIU ST STE 105A
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City | KAILUA
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State | HI
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Zip | 96734-2530
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Country | US
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Telephone | 808-384-0735
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Fax |
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Provider Business Mailing Address
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Address Line | 150 HAMAKUA DR # 399
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City | KAILUA
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State | HI
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Zip | 96734-2825
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Country | US
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Telephone | 808-384-0735
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Fax |
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Authorized Official
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Title or Position | LMHS
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Name | KRISTEN ALISE MOWREY
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Credential |
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Telephone | 808-384-0735
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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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