Organization
EVOLVE COUNSELING AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORTIA GOYETTE (OWNER)
(808) 212-5348
Entity
Organization
Contact information
Practice address
415 DAIRY RD STE E224, KAHULUI, HI 96732-2348
(808) 212-5348
Mailing address
415 DAIRY RD STE E224, KAHULUI, HI 96732-2348
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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