Organization
LIFE COUNSELING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWINA L REYES (MARRIAGE AND FAMILY THERAPIST)
(808) 375-7712
Entity
Organization
Contact information
Practice address
94-1221 KA UKA BLVD STE B202, WAIPAHU, HI 96797-6202
(808) 226-9442
(808) 671-0222
Mailing address
94-1221 KA UKA BLVD SUITE 108 PMB 343, WAIPAHU, HI 96797
(808) 226-9442
(808) 671-0222
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MFT-159
STATE OF HI LICENSE
HI
Enumeration date
02/23/2021
Last updated
02/23/2021
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