Organization
PACIFIC COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LEWIS LCSW (OWNER)
(808) 291-8582
Entity
Organization
Contact information
Practice address
780 KAIPII ST, KAILUA, HI 96734-2034
(808) 291-8582
Mailing address
PO BOX 1718, KAILUA, HI 96734-8718
(808) 291-8582
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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