Organization
CREATIVE COUNSELING MAUI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY TRESIDDER (OWNER)
(808) 283-8765
Entity
Organization
Contact information
Practice address
95 E LIPOA ST STE 209, KIHEI, HI 96753-8191
(808) 283-8765
Mailing address
PO BOX 1273, PUUNENE, HI 96784-1273
(808) 283-8765
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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