Individual
ALEXANDER STITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15-1963 4TH AVE., KEAAU, HI 96749
(808) 430-8552
Mailing address
PO BOX 1645, KEAAU, HI 96749-1645
(808) 430-8552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
473
HI
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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