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Organization
SANDAL GAP COUNSELING SERVICES LLC
Active
Organization
SANDAL GAP COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JOHNSON (CEO)
(808) 425-0195
Entity
Organization
Contact information
Practice address
33062 COUNTY ROAD 25, GREELEY, CO 80631-9326
(808) 425-0195
(808) 369-7106
Mailing address
238 KUUMELE PL, KAILUA, HI 96734-2957
(808) 425-0195
(808) 369-7106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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