Individual
JUANITA GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CSAC
Contact information
Practice address
3555 BALDWIN AVE, MAKAWAO, HI 96768-9517
(808) 579-9584
(808) 579-8902
Mailing address
3555 BALDWIN AVE, MAKAWAO, HI 96768-9517
(808) 579-9584
(808) 579-8902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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