Individual
GWEN L KELIIHOOMALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CRC, LMHC
Contact information
Practice address
15-2885 PAHOA MAIN STREET, PAHOA, HI 96778
(808) 965-2233
Mailing address
PO BOX 1493, HILO, HI 96721-1493
(808) 966-5997
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
87
HI
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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