Individual
DR. CHASE VICTOR CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1300 N HOLOPONO ST STE 108, KIHEI, HI 96753-6946
(808) 206-9371
(855) 270-7441
Mailing address
PO BOX 1977, KIHEI, HI 96753-1977
(808) 206-9371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MHC-653
HI
103TC0700X
Clinical Psychologist
6301019413
MI
103TC0700X
Clinical Psychologist
Primary
TPPY2904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY-2025-0110
STATE LICENSE
NM
01
—
PSY.0006808
STATE LICENSE
CO
Enumeration date
04/09/2020
Last updated
04/26/2026
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