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Organization

BODHI WELLNESS AND PSYCHOTHERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID J DOLAN LMHC, CSAC, LPC, (OWNER)
(808) 379-3766
Entity
Organization

Contact information

Practice address
1043 MAKAWAO AVE STE 209B, MAKAWAO, HI 96768
(808) 379-3766
(808) 379-3766
Mailing address
1043 MAKAWAO AVE STE 209B, MAKAWAO, HI 96768-9468
(808) 379-3766
(808) 379-3766

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1959-17R
HI
101YM0800X
Mental Health Counselor
Primary
MHC-494
HI

Other

Enumeration date
01/19/2018
Last updated
08/28/2018
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