Individual
WALTER NAAUAO VIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. MFT
Contact information
Practice address
622 HINANO ST, HILO, HI 96720-4427
(808) 589-1829
(808) 589-2610
Mailing address
622 HINANO ST, HILO, HI 96720-4427
(808) 589-1829
(808) 589-2610
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
PENDING
HI
Other
Enumeration date
09/19/2017
Last updated
07/21/2022
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