Organization
LIVE FULLY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE HUTCHISON PHD (MANAGING MEMBER)
(808) 977-6210
Entity
Organization
Contact information
Practice address
1164 BISHOP ST STE 929, HONOLULU, HI 96813
(808) 977-6210
Mailing address
1164 BISHOP ST STE 929, HONOLULU, HI 96813
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/06/2020
Last updated
10/18/2020
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