Organization
WELLNESS KULEANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ALICIA GONZALEZ LCSW (THERAPIST)
(808) 740-2852
Entity
Organization
Contact information
Practice address
95 LONO AVE STE 218, KAHULUI, HI 96732-1610
(808) 740-2852
(877) 684-8056
Mailing address
793 MAHEALANI PL, KIHEI, HI 96753-7318
(808) 646-0325
(877) 684-8056
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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