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Individual

TIANA MAKAIWA PARK LOUIS

Active
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Individual

TIANA MAKAIWA PARK LOUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC, CPC-INTERN

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
127859346004
UT
101YP2500X
Professional Counselor
0022392
CO
101YP2500X
Professional Counselor
CI0047
NV

Other

Enumeration date
10/20/2010
Last updated
08/06/2025
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