Individual
MRS. TRACEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 PIIKOI ST STE 203, HONOLULU, HI 96814-3139
(808) 589-2610
Mailing address
91-1702 POHAKULEPO ST, EWA BEACH, HI 96706-3621
(808) 723-2552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/27/2014
Last updated
10/28/2014
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