| Protean Counseling & Consulting Hawaii Llc | |
|
200 Kanoelehua Ave Pmb-347 Hilo HI 96720 | |
| (808) 953-0181 | |
| Not Available |
| Full Name | Protean Counseling & Consulting Hawaii Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 200 Kanoelehua Ave, Hilo, Hawaii |
| Authorized Official Name and Position | Steven George Pesanka (OWNER/CLINICIAN) |
| Authorized Official Contact | 8087435024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Protean Counseling & Consulting Hawaii Llc 200 Kanoelehua Ave Pmb-347 Hilo HI 96720-4648 Ph: (808) 743-5024 | Protean Counseling & Consulting Hawaii Llc 200 Kanoelehua Ave Pmb-347 Hilo HI 96720 Ph: (808) 953-0181 |
| NPI Number | 1114603834 |
|---|---|
| Provider Enumeration Date | 06/27/2023 |
| Last Update Date | 10/14/2023 |
| Certification Date | 10/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114603834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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