Individual
MR. TREY HALLIDAY FENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC, LLC
Contact information
Practice address
2406 PUUNOA PL, HONOLULU, HI 96816-3419
(808) 542-1389
Mailing address
2406 PUUNOA PL, HONOLULU, HI 96816-3419
(808) 542-1389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 4192
HI
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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