Organization
CROWN VISION CREATION GROUP INT'L INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE C VAN LOON MA (DIRECTOR)
(808) 852-2338
Entity
Organization
Contact information
Practice address
187 HALAI ST, HILO, HI 96720-2023
(808) 852-2338
Mailing address
187 HALAI ST, HILO, HI 96720-2023
(808) 852-2338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2018
Last updated
09/15/2018
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