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General NPI Number Information
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NPI Number | 1952014672
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Entity Type | Organization
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Legal Business Name | WEST COAST COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 12/27/2022
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Last Update Date | 12/27/2022
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Provider Practice Location Address
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Address Line | 91-1213 KANEONEO ST
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City | KAPOLEI
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State | HI
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Zip | 96707-4143
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Country | US
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Telephone | 808-330-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 91-1213 KANEONEO ST
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City | KAPOLEI
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State | HI
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Zip | 96707-4143
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Country | US
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Telephone | 808-330-6611
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Fax |
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MOANA K GASPAR
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Credential |
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Telephone | 808-330-6611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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