Individual
RACHELLE FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1036 WAIPIO UKA ST STE 109, WAIPAHU, HI 96797-4050
(808) 664-0638
Mailing address
PO BOX 240225, HONOLULU, HI 96824-0225
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT-404
HI
Other
Enumeration date
02/12/2020
Last updated
07/04/2020
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