Crown Vision Creation Group Int'l Inc | |
187 Halai St Hilo HI 96720-2023 | |
(808) 852-2338 | |
Not Available |
Full Name | Crown Vision Creation Group Int'l Inc |
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Speciality | Counselor - Mental Health |
Location | 187 Halai St, Hilo, Hawaii |
Authorized Official Name and Position | Jacqueline C Van Loon (DIRECTOR) |
Authorized Official Contact | 8088522338 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Crown Vision Creation Group Int'l Inc 187 Halai St Hilo HI 96720-2023 Ph: (808) 852-2338 | Crown Vision Creation Group Int'l Inc 187 Halai St Hilo HI 96720-2023 Ph: (808) 852-2338 |
NPI Number | 1811471865 |
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Provider Enumeration Date | 09/15/2018 |
Last Update Date | 09/15/2018 |
Identifier | Type | State | Issuer |
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1811471865 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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