Individual
ELIZABETH EVERETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
3627 KILAUEA AVE, HONOLULU, HI 96816-2317
(808) 733-9357
Mailing address
3627 KILAUEA AVE, HONOLULU, HI 96816-2317
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1917-16
HI
103TC0700X
Clinical Psychologist
Primary
PSY2068
HI
Other
Enumeration date
08/07/2017
Last updated
03/15/2023
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