Organization
HEIDI KOOP COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDEMARIE KOOP LCSW (MEMBER)
(808) 987-2296
Entity
Organization
Contact information
Practice address
81-6161 D ROAD, CAPTAIN COOK, HI 96704
(808) 987-2296
Mailing address
PO BOX 486, CAPTAIN COOK, HI 96704-0486
(808) 987-2296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-3268
HI
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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