Individual
JUDITH MARIE EKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
15-3039 PAHOA VILLAGE RD, PAHOA, HI 96778-9998
(808) 987-4321
Mailing address
HC 2 BOX 6410, KEAAU, HI 96749-9305
(808) 987-4321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
299
HI
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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