# KUOKOA COUNSELING, LLC

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

## Provider details

- **NPI number:** 1063260628
- **Authorized official:** MR. CLARENCE AUSTIN CHURCH III LMHC (OWNER)
- **Authorized official phone:** (719) 502-1366

## Contact information

- **Practice address:** 15-2832 MAHIMAHI ST, PAHOA, HI 96778-9123
- **Practice address phone:** (719) 502-1366
- **Mailing address:** PO BOX 1197, KAILUA KONA, HI 96745-1197
- **Mailing address phone:** (719) 502-1366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2024
- **Last updated:** 07/11/2024