Individual
MATTHEW BURRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 3RD AVE APT A, HONOLULU, HI 96816-5876
(808) 442-2469
Mailing address
1125 3RD AVE APT A, HONOLULU, HI 96816-5876
(808) 442-2469
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC - 437
HI
Other
Enumeration date
05/12/2014
Last updated
02/13/2017
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