Organization Name: | MARY NAVARRO COUNSELING SERVICES |
NPI Number: | 1043676844 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY NAVARRO (OWNER) |
Mailing Address: | 4480 Ahukini Rd Ste 205 Lihue |
State: | HI US |
Postal Code: | 967661168 |
Phone Number: | 8083466784 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2016 |
NPI Last Update Date: | 01/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFT 66 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |