Individual
LUCILLE CARSTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
75-5751 KUAKINI HWY, KAILUA KONA, HI 96740-1705
(808) 329-7176
Mailing address
197 NW 13TH CT, OAK HARBOR, WA 98277-3810
(360) 675-9320
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1361
WA
103TC0700X
Clinical Psychologist
Primary
PSY-190
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1361
STATE LICENSE
WA
05
—
A237196
—
HI
01
—
PSY-190
STATE LICENSE
HI
Enumeration date
06/04/2006
Last updated
07/09/2007
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