Individual
MRS. SARA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
91 HOOLAAU ST, WAILUKU, HI 96793-4164
(530) 713-2697
Mailing address
91 HOOLAAU ST, WAILUKU, HI 96793-4164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3002-21
HI
1041C0700X
Clinical Social Worker
Primary
LCSW-4820-0
HI
Other
Enumeration date
04/19/2022
Last updated
04/20/2022
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