Organization
INDIVIDUAL AND RELATIONSHIP COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE WINTER LCSW (PSYCHOTHERAPIST)
(808) 735-1053
Entity
Organization
Contact information
Practice address
1504 HALEKOA DR, HONOLULU, HI 96821-1125
(808) 735-1053
(808) 739-9183
Mailing address
1504 HALEKOA DR, HONOLULU, HI 96821-1125
(808) 735-1053
(808) 739-9183
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3013
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW 3013
LCSW 3013
HI
Enumeration date
12/08/2006
Last updated
08/22/2020
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