Anuenue Therapy Services, Llc | |
92-7075 Elele St Kapolei HI 96707-2312 | |
(808) 295-8568 | |
(808) 672-3605 |
Full Name | Anuenue Therapy Services, Llc |
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Speciality | Social Worker - Clinical |
Location | 92-7075 Elele St, Kapolei, Hawaii |
Authorized Official Name and Position | Bonnie Lee Coutsourakis (CLINICAL SOCIAL WORKER/ MANAGER) |
Authorized Official Contact | 8082958568 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Anuenue Therapy Services, Llc 92-7075 Elele St Kapolei HI 96707-2312 Ph: (808) 295-8568 | Anuenue Therapy Services, Llc 92-7075 Elele St Kapolei HI 96707-2312 Ph: (808) 295-8568 |
NPI Number | 1821242116 |
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Provider Enumeration Date | 11/13/2008 |
Last Update Date | 11/13/2008 |
Identifier | Type | State | Issuer |
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1821242116 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW 3384 (Hawaii) | Primary |
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