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Organization

WEST COAST COUNSELING SERVICES LLC

Active
Other names
west coast counseling services
Organization subpart
No

Provider details

NPI number
Authorized official
MOANA K GASPAR (LICENSED MENTAL HEALTH COUNSELOR)
(808) 330-6611
Entity
Organization

Contact information

Practice address
91-1213 KANEONEO ST, KAPOLEI, HI 96707-4143
(808) 330-6611
Mailing address
91-1213 KANEONEO ST, KAPOLEI, HI 96707-4143
(808) 330-6611

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101YM0800X
TAXONOMY
HI
01
1033509633
NPI TYPE II
HI
01
119434395
NPI TYPE 1
HI
01
12751240
CAQH
HI
05
783870
HI
Enumeration date
12/27/2022
Last updated
12/27/2022
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