Gerald L Coffee Lcsw Llc | |
1221 Kapiolani Blvd Ph 50 Honolulu HI 96814-3518 | |
(088) 260-9893 | |
(808) 748-0433 |
Full Name | Gerald L Coffee Lcsw Llc |
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Speciality | Psychologist - Clinical |
Location | 1221 Kapiolani Blvd Ph 50, Honolulu, Hawaii |
Authorized Official Name and Position | Jerry L Coffee (OWNER) |
Authorized Official Contact | 8083829185 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gerald L Coffee Lcsw Llc 1221 Kapiolani Blvd Ph 50 Honolulu HI 96814-3518 Ph: (088) 260-9893 | Gerald L Coffee Lcsw Llc 1221 Kapiolani Blvd Ph 50 Honolulu HI 96814-3518 Ph: (088) 260-9893 |
NPI Number | 1679224265 |
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Provider Enumeration Date | 01/14/2022 |
Last Update Date | 01/20/2022 |
Certification Date | 01/20/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679224265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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