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Individual

MELISSA FRANCES SIPOLT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT-420 HAWAII

Contact information

Practice address
93 N KAINALU DR, KAILUA, HI 96734-2331
(808) 688-4228
Mailing address
384 KAIMAKE LOOP, KAILUA, HI 96734-2019
(808) 688-4228
(808) 260-9880

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-420
HI
106H00000X
Marriage & Family Therapist
MFT44280
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346424850
NPI
Enumeration date
12/19/2007
Last updated
01/30/2020
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