Individual
SAMANTHA SAU YU FUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC, LCSW
Contact information
Practice address
1315 KALAKAUA AVE APT 907, HONOLULU, HI 96826-1943
(808) 232-4768
Mailing address
1315 KALAKAUA AVE APT 907, HONOLULU, HI 96826-1943
(808) 232-4768
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1809-14
HI
101YM0800X
Mental Health Counselor
Primary
LCSW-3958
HI
Other
Enumeration date
08/24/2009
Last updated
07/13/2015
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