| Andrea Van Patten Lmft Llc | |
|
81b Kilikina Pl Haiku HI 96708-5016 | |
| (808) 269-4603 | |
| Not Available |
| Full Name | Andrea Van Patten Lmft Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 81b Kilikina Pl, Haiku, Hawaii |
| Authorized Official Name and Position | Andrea Van Patten (OWNER) |
| Authorized Official Contact | 8082694603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Van Patten Lmft Llc Po Box 1033 Makawao HI 96768-1033 Ph: () - | Andrea Van Patten Lmft Llc 81b Kilikina Pl Haiku HI 96708-5016 Ph: (808) 269-4603 |
| NPI Number | 1417796467 |
|---|---|
| Provider Enumeration Date | 05/20/2024 |
| Last Update Date | 05/20/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 3870024128 |
|---|---|
| Medicare Enrollment ID | O20240927001328 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417796467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Andrea Noel Vanpatten |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1790958874 PECOS PAC ID: 7012368731 Enrollment ID: I20240927001387 |
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