Individual
MICHAEL HAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 N KING ST, HONOLULU, HI 96819-3451
(808) 841-0111
Mailing address
1803 N KING ST, HONOLULU, HI 96819-3451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1765-13
HI
101YP1600X
Pastoral Counselor
1765-13
HI
101YP2500X
Professional Counselor
1765-13
HI
103K00000X
Behavior Analyst
1765-13
HI
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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