Individual
MR. GLENN A KONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DCSW LCSW CSAC
Contact information
Practice address
688 KINOOLE ST, STE 119B, HILO, HI 96720
(808) 935-5687
(808) 935-8873
Mailing address
PO BOX 10621, HILO, HI 96721-1062
(808) 935-5687
(808) 935-8873
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
90193
HI
1041C0700X
Clinical Social Worker
Primary
LCSW3070
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A02141262
—
HI
Enumeration date
10/04/2006
Last updated
05/05/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us