Organization
PACIFIC DREAMS INSTITUTE
Active
Other names
ROSARY NANCY MORENO-DERKS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSARY NANCY MORENO-DERKS MS, LMFT (PRESIDENT)
(760) 554-4395
Entity
Organization
Contact information
Practice address
77-255 HOLOMAKANI STREET, KAILUA KONA, HI 96740
(760) 554-4395
Mailing address
77-255 HOLOMAKANI STREET, KAILUA KONA, HI 96740
(760) 554-4395
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MFC 15988
CA
106H00000X
Marriage & Family Therapist
Primary
MFC 15988
CA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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