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Individual

ELLEN J BELLEROSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSAC

Contact information

Practice address
264 KAIPII PL, KIHEI, HI 96753-7638
(808) 205-7571
Mailing address
264 KAIPII PL, KIHEI, HI 96753-7638
(808) 205-7571

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
740-95
HI

Other

Enumeration date
09/09/2013
Last updated
09/09/2013
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