Individual
MISS LEISSA HORIUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGY
Contact information
Practice address
1822 KEEAUMOKU ST, HONOLULU, HI 96822-3001
(808) 527-4948
(808) 527-4949
Mailing address
1822 KEEAUMOKU ST, HONOLULU, HI 96822-3001
(808) 527-4948
(808) 527-4949
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316141054
CHILD CARE ORGANIZATION
HI
Enumeration date
08/15/2011
Last updated
08/15/2011
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