Organization
GRACE IN LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERILYNN UILANI RAQUEDAN MFT (OWNER/THERAPIST)
(808) 707-6378
Entity
Organization
Contact information
Practice address
1221 KAPIOLANI BLVD STE 248, HONOLULU, HI 96814-3506
(808) 707-6378
Mailing address
95-708 MAKAIOLANI ST, MILILANI, HI 96789-2940
(707) 514-5963
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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