Individual
MS. DANA LIZABETH MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
75-127 LUNAPULE RD, SUITE 15 B, KAILUA KONA, HI 96740-2119
(808) 430-6159
Mailing address
PO BOX 7135, KAMUELA, HI 96743-7135
(808) 430-6159
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
308
HI
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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