Individual
MS. MEG STOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
1721A MAKALEHA PL, 4-1435 KUHIO HIGHWAY SUITE 205, KAPAA, HI 96746-8009
(808) 634-4289
Mailing address
1721A MAKALEHA PL, KAPAA, HI 96746-8009
(808) 634-4289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1222-04R
HI
Other
Enumeration date
04/27/2011
Last updated
04/27/2011
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