Organization
KUOKOA COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE AUSTIN CHURCH III LMHC (OWNER)
(719) 502-1366
Entity
Organization
Contact information
Practice address
15-2832 MAHIMAHI ST, PAHOA, HI 96778-9123
(719) 502-1366
Mailing address
PO BOX 1197, KAILUA KONA, HI 96745-1197
(719) 502-1366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/08/2024
Last updated
07/11/2024
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