Individual
AMANDA ODISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16-2001 UAU ROAD, MOUNTAIN VIEW, HI 96771-1111
(808) 481-9303
Mailing address
16-566 KEAAU PAHOA RD # 188-397, KEAAU, HI 96749-8137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
MFT-785
HI
106H00000X
Marriage & Family Therapist
Primary
—
HI
Other
Enumeration date
02/17/2020
Last updated
08/19/2022
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