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Individual

MS. LAURA ACEVEDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MACP LMHC

Contact information

Practice address
32 KINOOLE ST, STE 103, HILO, HI 96720-2469
(808) 443-4169
Mailing address
100 OLIANA ST, HILO, HI 96720-1642
(808) 443-4169

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC247
HI

Other

Enumeration date
03/05/2011
Last updated
03/05/2011
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