Individual
TYSON N ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
191 MOHOULI ST, HILO, HI 96720-3949
(808) 464-1655
(808) 464-1655
Mailing address
PO BOX 177, MOUNTAIN VIEW, HI 96771-0177
(808) 464-1655
(808) 464-1655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MHC-1019-0
HI
Other
Enumeration date
01/13/2009
Last updated
03/17/2024
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