Individual
MISS TAMARA L MICHAELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CSAC, LCSW
Contact information
Practice address
500 ALA MOANA BLVD STE 7400, HONOLULU, HI 96813-4902
(415) 424-4266
(415) 520-6633
Mailing address
PO BOX 135, MAUNALOA, HI 96770-0135
(808) 658-1274
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3018-21
HI
1041C0700X
Clinical Social Worker
Primary
LCSW-4966
HI
Other
Enumeration date
04/08/2021
Last updated
11/20/2024
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