Organization
KALA & ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GWEN L KELIIHOOMALU MA, CRC, LMHC (PRESIDENT/LMHC)
(808) 966-5997
Entity
Organization
Contact information
Practice address
15-3039 PAHOA VILLAGE RD., PAHOA, HI 96778
(808) 966-5997
(808) 966-5998
Mailing address
PO BOX 1493, HILO, HI 96721-1493
(808) 966-5997
(808) 966-5998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-87
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000348599
—
HI
Enumeration date
02/12/2018
Last updated
02/12/2018
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