Inner Abundance Therapy Llc | |
23 Hoola Hou St Wailuku HI 96793-5714 | |
(808) 344-8236 | |
Not Available |
Full Name | Inner Abundance Therapy Llc |
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Speciality | Marriage & Family Therapist |
Location | 23 Hoola Hou St, Wailuku, Hawaii |
Authorized Official Name and Position | Kassel Tuzon Taeza-vincent (LICENSED MARRIAGE &FAMILY THERAPIST) |
Authorized Official Contact | 8083448236 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Inner Abundance Therapy Llc 23 Hoola Hou St Wailuku HI 96793-5714 Ph: (808) 344-8236 | Inner Abundance Therapy Llc 23 Hoola Hou St Wailuku HI 96793-5714 Ph: (808) 344-8236 |
NPI Number | 1073096004 |
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Provider Enumeration Date | 09/14/2018 |
Last Update Date | 09/14/2018 |
Medicare PECOS PAC ID | 3173960036 |
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Medicare Enrollment ID | O20240327001926 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073096004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Provider Name | Kassel Tuzon Taeza-vincent |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1013408509 PECOS PAC ID: 4082051941 Enrollment ID: I20240401000813 |
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