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Individual

ELLEN ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSCP, LMFT

Contact information

Practice address
1808 VANCOUVER PL, HONOLULU, HI 96822-2454
(808) 212-8252
Mailing address
1808 VANCOUVER PL, HONOLULU, HI 96822-2454
(808) 252-8252
(808) 212-8252

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MFT-738
HI
101YM0800X
Mental Health Counselor
106H00000X
Marriage & Family Therapist
Primary
MFT-738
HI

Other

Enumeration date
09/18/2019
Last updated
06/28/2022
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