Individual
THELMA HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 S KING ST, HONOLULU, HI 96826-2065
(808) 589-2367
Mailing address
1121 ALA NAPUNANI ST APT 1004, HONOLULU, HI 96818-1604
(808) 773-5548
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175591
MEDICAID
HI
Enumeration date
05/13/2022
Last updated
05/13/2022
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