Individual
BIRDIE ANN BAGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
91-1514 KAIELEELE ST, EWA BEACH, HI 96706-4615
(808) 277-8021
Mailing address
91-1514 KAIELEELE ST, EWA BEACH, HI 96706-4615
(808) 277-8021
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-746
HI
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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