Individual
THOMAS ANTHONY VENDETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.,LCSW
Contact information
Practice address
105 MARKET STREET, WAILUKU, HI 96793
(808) 856-8004
Mailing address
1147 MALAIHI ROAD, WAILUKU, HI 96793
(808) 344-1415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW-4117
HI
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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