Individual
DANELLE MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD 203, KAPOLEI, HI 96707-2014
(808) 387-3045
(808) 672-0104
Mailing address
92-7045 KAHEA ST, KAPOLEI, HI 96707-2302
(808) 387-3922
(808) 672-0104
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC123
HI
Other
Enumeration date
06/25/2015
Last updated
08/10/2015
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