Organization
CREATIVE THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY FRANCES TYSON MARCHINO MFT (OWNER)
(808) 652-2862
Entity
Organization
Contact information
Practice address
3483 WELIWELI RD, SUITE #1, KOLOA, HI 96756-8546
(808) 652-2862
(808) 320-3933
Mailing address
PO BOX 339, KALAHEO, HI 96741-0339
(808) 652-2862
(808) 320-3933
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT350
HI
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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