Organization
ANUENUE THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE LEE COUTSOURAKIS MSW, LCSW (CLINICAL SOCIAL WORKER/ MANAGER)
(808) 295-8568
Entity
Organization
Contact information
Practice address
92-7075 ELELE ST, KAPOLEI, HI 96707-2312
(808) 295-8568
(808) 672-3605
Mailing address
92-7075 ELELE ST, KAPOLEI, HI 96707-2312
(808) 295-8568
(808) 672-3605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 3384
HI
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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