Organization
MANDALA INTEGRATIVE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE KIM VAN DER TUIN LMFT (OWNER/THERAPIST)
(808) 276-4160
Entity
Organization
Contact information
Practice address
4198 KILAUEA AVE, HONOLULU, HI 96816-4452
(808) 276-4160
Mailing address
4198 KILAUEA AVE, HONOLULU, HI 96816-4452
(808) 276-4160
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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