Individual
GLENDA L GEORGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHC, NCC
Contact information
Practice address
125 W KAMEHAMEHA AVE, KAHULUI, HI 96732-2237
(808) 877-0586
Mailing address
83 IKENA KAI PLACE, KULA, HI 96790
(808) 214-3561
(808) 787-3490
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
113
HI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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