Individual
MS. PENNEY PUANANI OGUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, CDCS,CSAC, ICADC
Contact information
Practice address
1521 KATY JILL CT, NORTH POLE, AK 99705-5640
(808) 673-9750
Mailing address
1521 KATY JILL CT, NORTH POLE, AK 99705-5640
(808) 673-9750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1880-15
HI
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
HI
Other
Enumeration date
12/28/2020
Last updated
08/27/2022
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