| Kipuka Counseling And Consulting, Llc | |
|
15-1463 Awa Ave Keaau HI 96749 | |
| (808) 938-4393 | |
| Not Available |
| Full Name | Kipuka Counseling And Consulting, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 15-1463 Awa Ave, Keaau, Hawaii |
| Authorized Official Name and Position | Lynne Rose Mollo (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 8089384393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kipuka Counseling And Consulting, Llc Po Box 1721 Keaau HI 96749-1721 Ph: (808) 938-4393 | Kipuka Counseling And Consulting, Llc 15-1463 Awa Ave Keaau HI 96749 Ph: (808) 938-4393 |
| NPI Number | 1154824407 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 09/28/2022 |
| Certification Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154824407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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