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Individual

PORTIA RILEY GOYETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT, DCC

Contact information

Practice address
415 DAIRY RD STE E224, KAHULUI, HI 96732-2348
(503) 567-9955
Mailing address
415 DAIRY RD STE E224, KAHULUI, HI 96732-2348
(808) 212-5348

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LF60707416
WA
106H00000X
Marriage & Family Therapist
Primary
MFT-516
HI
106H00000X
Marriage & Family Therapist
T1315
OR

Other

Enumeration date
05/25/2007
Last updated
07/21/2022
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