Organization
IKE LOA THERAPEUTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAILA KANEAIAKALA (CHIEF OPERATING OFFICER)
(808) 220-3665
Entity
Organization
Contact information
Practice address
1520 LILIHA ST STE 406, HONOLULU, HI 96817-3564
(714) 584-9889
(808) 600-3754
Mailing address
1520 LILIHA ST STE 406, HONOLULU, HI 96817-3564
(714) 584-9889
(808) 600-3754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
03/03/2020
Last updated
09/03/2021
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