Individual
THERESA RENEE WILSON HASTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
64 KEAWE ST STE 204, HILO, HI 96720-2486
(470) 655-6278
(877) 760-0394
Mailing address
64 KEAWE ST STE 204, HILO, HI 96720-2486
(470) 655-6278
(877) 760-0394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61414
TX
Other
Enumeration date
11/15/2013
Last updated
01/11/2023
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