Organization Name: | WEST COAST COUNSELING SERVICES |
NPI Number: | 1033509633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MOANA KWAI SEN GASPAR (LICENSED MENTAL HEALTH COUNSELOR) |
Mailing Address: | 91-1213 Kaneoneo St Kapolei |
State: | HI US |
Postal Code: | 967074143 |
Phone Number: | 8083306611 |
Fax Number: | 8083697414 |
NPI Enumeration Date: | 02/03/2015 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MHC-337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |