| Trey Halliday Fenton Lcsw, Csac, Llc | |
|
438 Hobron Ln Ste 315 Honolulu HI 96815-1229 | |
| (808) 542-1389 | |
| Not Available |
| Full Name | Trey Halliday Fenton Lcsw, Csac, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 438 Hobron Ln Ste 315, Honolulu, Hawaii |
| Authorized Official Name and Position | Trey Halliday Fenton (OWNER) |
| Authorized Official Contact | 8085421389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trey Halliday Fenton Lcsw, Csac, Llc 3081 Paty Dr Apt H Honolulu HI 96822-1448 Ph: (808) 542-1389 | Trey Halliday Fenton Lcsw, Csac, Llc 438 Hobron Ln Ste 315 Honolulu HI 96815-1229 Ph: (808) 542-1389 |
| NPI Number | 1265294649 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265294649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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