| Doctor Name: | MS. MEG STOUDER |
| NPI Number: | 1164713913 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CSAC |
| License Number: | 1222-04R |
| Business Practice Address: | 1721a Makaleha Pl 4-1435 Kuhio Highway Suite 205 Kapaa, HI - 967468009 |
| Business Phone Number: | 8086344289 |
| Business Fax Number: | |
| Mailing Address: | 1721a Makaleha Pl, KAPAA |
| State: | HI |
| Postal Code: | 967468009 |
| Phone Number: | 8086344289 |
| Fax Number: | |
| NPI Enumeration Date: | 04/27/2011 |
| NPI Last Update Date: | 04/27/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1222-04R |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |