Organization
WAILEA COUNSELING & HEALING ARTS MAUI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE TYLER LCSW (DIRECTOR)
(808) 280-5804
Entity
Organization
Contact information
Practice address
95 E LIPOA ST STE 204, KIHEI, HI 96753-8194
(808) 280-5804
(833) 468-0079
Mailing address
PO BOX 532698, KIHEI, HI 96753-2644
(808) 280-5804
(833) 468-0079
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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