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Individual

JUDITH CHRISTINE WAITLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
73-1221 AHIKAWA ST UNIT A, KAILUA KONA, HI 96740-9412
(808) 765-5951
Mailing address
73-1221 AHIKAWA ST UNIT A, KAILUA KONA, HI 96740-9412
(808) 765-5951

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-757
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MHC-757
HAWAII MENTAL HEALTH COUNSELOR LICENSE
HI
Enumeration date
08/18/2018
Last updated
03/10/2021
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