| West Coast Counseling Services Llc | |
|
91-1213 Kaneoneo St Kapolei HI 96707-4143 | |
| (808) 330-6611 | |
| Not Available |
| Full Name | West Coast Counseling Services Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 91-1213 Kaneoneo St, Kapolei, Hawaii |
| Authorized Official Name and Position | Moana K Gaspar (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8083306611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Coast Counseling Services Llc 91-1213 Kaneoneo St Kapolei HI 96707-4143 Ph: (808) 330-6611 | West Coast Counseling Services Llc 91-1213 Kaneoneo St Kapolei HI 96707-4143 Ph: (808) 330-6611 |
| NPI Number | 1952014672 |
|---|---|
| Provider Enumeration Date | 12/27/2022 |
| Last Update Date | 12/27/2022 |
| Certification Date | 12/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952014672 | NPI | - | NPPES |
| 119434395 | Other | HI | NPI TYPE 1 |
| 12751240 | Other | HI | CAQH |
| 101YM0800X | Other | HI | TAXONOMY |
| 1033509633 | Other | HI | NPI TYPE II |
| 783870 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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