Island Paradise Counseling, Llc | |
162 Kinoole St Ste 101 Hilo HI 96720-2861 | |
(808) 935-0070 | |
(808) 935-0070 |
Full Name | Island Paradise Counseling, Llc |
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Speciality | Social Worker - Clinical |
Location | 162 Kinoole St Ste 101, Hilo, Hawaii |
Authorized Official Name and Position | Roxy Antoinette Mico (MEMBER) |
Authorized Official Contact | 8089350070 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Island Paradise Counseling, Llc Po Box 10068 Hilo HI 96721 Ph: (808) 935-0070 | Island Paradise Counseling, Llc 162 Kinoole St Ste 101 Hilo HI 96720-2861 Ph: (808) 935-0070 |
NPI Number | 1275942591 |
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Provider Enumeration Date | 08/12/2014 |
Last Update Date | 06/09/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275942591 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (Hawaii) | Primary |
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