| Renee Wetzel, Lmhc Llc | |
|
1221 Kilauea Ave Ste 60a Hilo HI 96720-4264 | |
| (808) 345-6142 | |
| Not Available |
| Full Name | Renee Wetzel, Lmhc Llc |
|---|---|
| Speciality | Counselor |
| Location | 1221 Kilauea Ave Ste 60a, Hilo, Hawaii |
| Authorized Official Name and Position | Renee Wetzel (OWNER) |
| Authorized Official Contact | 8083456142 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renee Wetzel, Lmhc Llc Po Box 201 Honomu HI 96728-0201 Ph: (808) 345-6142 | Renee Wetzel, Lmhc Llc 1221 Kilauea Ave Ste 60a Hilo HI 96720-4264 Ph: (808) 345-6142 |
| NPI Number | 1487368619 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 5991247538 |
|---|---|
| Medicare Enrollment ID | O20240611000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487368619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Renee L Wetzel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942560842 PECOS PAC ID: 6800338443 Enrollment ID: I20240611000595 |
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