Individual
STANLEY TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LMHC, CSAC
Contact information
Practice address
815 ALAKEA ST, HONOLULU, HI 96813
(808) 255-8836
Mailing address
98-310 KAMEHAMEHA HWY, 235, AIEA, HI 96701
(808) 728-6301
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1461-09
HI
101YM0800X
Mental Health Counselor
Primary
382
HI
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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