Individual
COREY PAIGE BENROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
401 PONANONANO ALY, HONOLULU, HI 96818-5952
(757) 325-2169
Mailing address
401 PONANONANO ALY, HONOLULU, HI 96818-5952
(757) 325-2169
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC01382
RI
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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