Individual
MRS. TENNILLE DANETTE COUTSOURAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 WAIANUENUE AVE STE 215, HILO, HI 96720-2418
(808) 935-7949
(808) 935-5996
Mailing address
15-354 KAHAKAI BLVD, PAHOA, HI 96778-8909
(808) 339-7836
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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