Individual
PASSI IAFETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2176 LAUWILIWILI ST STE 1, KAPOLEI, HI 96707-1882
(808) 272-5355
(808) 200-4955
Mailing address
91-1135 KAMAAHA LOOP # 16C, KAPOLEI, HI 96707-2919
(808) 542-5475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-1218
HI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/04/2021
Last updated
07/07/2026
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