Individual
MR. IAN LANE WATANABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFT
Contact information
Practice address
1827 VANCOUVER PL, HONOLULU, HI 96822-2453
(808) 371-6321
Mailing address
1827 VANCOUVER PL, HONOLULU, HI 96822-2453
(808) 371-6321
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 242
HI
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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