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Organization

PACIFIC COUNSELING GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID J WITTENBERG PSYD (MEMBER - MANAGER)
(808) 281-6284
Entity
Organization

Contact information

Practice address
1325 S KIHEI RD STE 200, KIHEI, HI 96753-8145
(808) 866-8753
Mailing address
PO BOX 1492, MAKAWAO, HI 96768-1492
(808) 281-6284

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
12/18/2023
Last updated
09/19/2024
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