Individual
TANYA NOELLE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3483 MALINA PL, KIHEI, HI 96753-9246
(808) 269-5996
Mailing address
3483 MALINA PL, KIHEI, HI 96753-9246
(808) 269-5996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-514
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
824955
—
HI
Enumeration date
02/21/2018
Last updated
03/16/2021
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