Individual
SAMANTHA BAILO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 KAMEHAMEHA AVE # 201, HILO, HI 96720-2860
(808) 825-4214
Mailing address
224 KAMEHAMEHA AVE # 201, HILO, HI 96720-2860
(808) 825-4214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-1071
HI
101YM0800X
Mental Health Counselor
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Other
Enumeration date
04/13/2022
Last updated
12/05/2024
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