Organization
OASIS FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PRESTON LMFT (CEO)
(808) 282-6301
Entity
Organization
Contact information
Practice address
970 N KALAHEO AVE STE A212, KAILUA, HI 96734-1857
(808) 343-4279
Mailing address
PO BOX 1605, KAILUA, HI 96734-8605
(808) 343-4279
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
351
HI
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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