Individual
VERONICA BROCKWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 KILAUEA AVE STE 25, HILO, HI 96720-4253
(808) 731-4336
Mailing address
614 KILAUEA AVE STE 25, HILO, HI 96720-4253
(808) 731-4336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
HI
103K00000X
Behavior Analyst
—
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2017
Last updated
03/09/2022
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