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Individual

MS. CYNTHIA FATA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
614 KILAUEA AVE, SUITE 101, HILO, HI 96720-4272
(808) 854-0436
Mailing address
614 KILAUEA AVE, SUITE 101, HILO, HI 96720-4272
(808) 854-0436

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC 358
HI

Other

Enumeration date
05/18/2009
Last updated
04/14/2015
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