| Mr Marvin Otis St Clair Iii, LCSW | |
|
113850 6th, Volcano, HI 96785 | |
| (808) 967-8580 | |
| (808) 934-0071 |
| Full Name | Mr Marvin Otis St Clair Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 113850 6th, Volcano, Hawaii |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942343439 | NPI | - | NPPES |
| 536336 | Medicaid | HI | |
| 0000252791 | Other | HI | HMSA PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 3187 (Hawaii) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Marvin Otis St Clair Iii, LCSW Po Box 575, Volcano, HI 96785-0575 Ph: (808) 961-5166 | Mr Marvin Otis St Clair Iii, LCSW 113850 6th, Volcano, HI 96785 Ph: (808) 967-8580 |
Anne Marie Leilani Briggs, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: General Delivery, Volcano, HI 96785 Phone: 717-388-0134 | |
Christin Decoito, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18-4104 Holana St, Volcano, HI 96785 Phone: 808-443-7308 |