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Organization

THE GREEN ROOM THERAPY, LLC

Active
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Organization

THE GREEN ROOM THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANGEETHA NAIR LMFT (MARRIAGE AND FAMILY THERAPIST)
(808) 234-4435
Entity
Organization

Contact information

Practice address
78-6831 ALII DRIVE, SPACE E234, UNIT # 211, KAILUA-KONA, HI 96740-9674
(808) 234-4435
Mailing address
PO BOX 863, KEALAKEKUA, HI 96750-0863
(808) 234-4435

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
06/08/2020
Last updated
06/08/2020
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