| Lisa Chun Fat Llc | |
|
2176 Lauwiliwili St Ste 1 Kapolei HI 96707-1882 | |
| (808) 226-0616 | |
| Not Available |
| Full Name | Lisa Chun Fat Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2176 Lauwiliwili St Ste 1, Kapolei, Hawaii |
| Authorized Official Name and Position | Lisa Marie Chun Fat (OWNER) |
| Authorized Official Contact | 8082260616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Chun Fat Llc 2215 Booth Rd Apt A Honolulu HI 96813-6814 Ph: (808) 226-0616 | Lisa Chun Fat Llc 2176 Lauwiliwili St Ste 1 Kapolei HI 96707-1882 Ph: (808) 226-0616 |
| NPI Number | 1801526207 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801526207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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