Individual
ANTONIA WOLLERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
47-515 WAIPUA PL, KANEOHE, HI 96744-5446
(808) 517-9670
Mailing address
47-515 WAIPUA PL, KANEOHE, HI 96744-5446
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2540
MN
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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