Individual
KATHY DESOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
2609 ALA WAI BLVD APT 305, HONOLULU, HI 96815-3901
(808) 753-1286
Mailing address
2609 ALA WAI BLVD APT 305, HONOLULU, HI 96815-3901
(808) 753-1286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1738-13
HI
1041C0700X
Clinical Social Worker
Primary
3516
HI
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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