Individual
ANGELIQUE STEPHANIE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 AUWAIKU ST, KAILUA, HI 96734-3702
(808) 694-9573
Mailing address
1419 AUWAIKU ST, KAILUA, HI 96734-3702
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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