Individual
MR. JAY CASUPANG ALCISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
459 PATTERSON RD # 116, HONOLULU, HI 96819-1522
(808) 433-0778
(808) 433-0395
Mailing address
459 PATTERSON RD # 116, HONOLULU, HI 96819-1522
(808) 433-0778
(808) 433-0395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3750
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3750
LCSW
HI
Enumeration date
02/25/2008
Last updated
07/19/2013
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