Organization
LIVING PONO MENTAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ANNE GRAFF LMHC, LPC (OWNER)
(360) 953-3199
Entity
Organization
Contact information
Practice address
1670 MAKALOA ST STE 204-318, HONOLULU, HI 96814-3232
(808) 291-2411
Mailing address
7700 NE PARKWAY DR STE 215, VANCOUVER, WA 98662-6653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255882031
NPI
—
Enumeration date
10/04/2022
Last updated
10/04/2022
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