Individual
MS. KATHLEEN SACHIKO VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-7699
Mailing address
442 KANANI PL, HONOLULU, HI 96817-1737
(808) 224-8551
(808) 595-6451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1150-02
—
1041C0700X
Clinical Social Worker
Primary
3289
HI
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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