Individual
DUSTIN DESTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
313 HAILI ST, HILO, HI 96720-2500
(818) 515-4483
Mailing address
313 HAILI ST, HILO, HI 96720-2500
(818) 515-4483
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/11/2010
Last updated
11/04/2013
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