Individual
NINA HOOMAIKAIANA PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
65-1187 HOKUULA RD, KAMUELA, HI 96743-8300
(808) 557-3114
Mailing address
65-1187 HOKUULA RD, KAMUELA, HI 96743-8300
(808) 557-3114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-897-0
HI
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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