Organization
DSM THERAPEUTIC AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANELLE S MEDEIROS MSCP (MEMBER MANAGER)
(808) 387-3922
Entity
Organization
Contact information
Practice address
91-1100 PAAOLOULU WAY, KAPOLEI, HI 96707-3102
(808) 387-3922
(808) 672-0104
Mailing address
92-7045 KAHEA ST, KAPOLEI, HI 96707-2302
(808) 387-3922
(808) 672-0104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
HI
103TC1900X
Counseling Psychologist
—
HI
106H00000X
Marriage & Family Therapist
—
HI
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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