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Organization

KIPUKA COUNSELING AND CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNNE ROSE MOLLO LCSW (PSYCHOTHERAPIST/OWNER)
(808) 938-4393
Entity
Organization

Contact information

Practice address
15-1463 AWA AVE, KEAAU, HI 96749
(808) 938-4393
Mailing address
PO BOX 1721, KEAAU, HI 96749-1721
(808) 938-4393

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
03/13/2018
Last updated
09/28/2022
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