| Laurie La Madrid Llc Dba Laurie La Madrid, Mft | |
|
94-1042 Ka Uka Blvd Ste 203 Waipahu HI 96797-6209 | |
| (808) 650-2468 | |
| Not Available |
| Full Name | Laurie La Madrid Llc Dba Laurie La Madrid, Mft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 94-1042 Ka Uka Blvd Ste 203, Waipahu, Hawaii |
| Authorized Official Name and Position | Laurie L. La Madrid (SOLE MEMBER) |
| Authorized Official Contact | 8086502468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie La Madrid Llc Dba Laurie La Madrid, Mft 94-1042 Ka Uka Blvd Ste 203 Waipahu HI 96797-6209 Ph: (808) 650-2468 | Laurie La Madrid Llc Dba Laurie La Madrid, Mft 94-1042 Ka Uka Blvd Ste 203 Waipahu HI 96797-6209 Ph: (808) 650-2468 |
| NPI Number | 1902390875 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 12/27/2020 |
| Certification Date | 12/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902390875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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