Individual
SHAUN JESSE KASTELIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
2207 OAHU AVE, HONOLULU, HI 96822-2210
(971) 322-7871
Mailing address
46-315 IKIIKI ST, KANEOHE, HI 96744-4036
(971) 322-7871
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC305
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327052
NATIONAL BOARD OF CERTIFIED COUNSELORS
—
Enumeration date
08/27/2019
Last updated
06/12/2020
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