Individual
TATIANA TIBISAI MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1505 DILLINGHAM BLVD, HONOLULU, HI 96817-4885
(808) 842-2245
Mailing address
1505 DILLINGHAM BLVD, HONOLULU, HI 96817-4885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
573
HI
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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