# KA HOKU KAI COUNSELING CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043859200
- **Authorized official:** DR. JESSICA ELIZABETH-ROSE CARROLL PHD (CLINICAL PSYCHOLOGIST)
- **Authorized official phone:** (808) 345-4863

## Contact information

- **Practice address:** 166 KAMEHAMEHA AVE STE 1, HILO, HI 96720-2857
- **Practice address phone:** (808) 345-4863
- **Mailing address:** PO BOX 711570, MOUNTAIN VIEW, HI 96771-1570
- **Mailing address phone:** (808) 345-4863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/05/2020
- **Last updated:** 01/05/2020