Individual
THERESA-MARIE KALEIALOHA KAIO SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
85-888 FARRINGTON HWY, WAIANAE, HI 96792-2403
(808) 696-9498
Mailing address
86-226 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-4211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/06/2019
Last updated
05/30/2023
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