| Doctor Name: | MESTISA C GASS |
| NPI Number: | 1184081473 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 91-2301 Old Ft Weaver Rd Ewa Beach, HI - 967063602 |
| Business Phone Number: | 8086718500 |
| Business Fax Number: | |
| Mailing Address: | 4838 W Eha Way Apt B, EWA BEACH |
| State: | HI |
| Postal Code: | 967063027 |
| Phone Number: | 8082926541 |
| Fax Number: | |
| NPI Enumeration Date: | 01/18/2016 |
| NPI Last Update Date: | 01/18/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |