Individual
MS. SHELLIE ANN NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 KEEAUMOKU ST, HONOLULU, HI 96822-3001
(808) 527-4943
(808) 527-4949
Mailing address
1822 KEEAUMOKU ST, HONOLULU, HI 96822-3001
(808) 527-4943
(808) 527-4949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC178
HI
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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