Doctor Name: | DR. TRINA NAHM-MIJO |
NPI Number: | 1285854646 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 33 |
Business Practice Address: | 17-4205 13 Mile Road Kurtistown, HI - 96760 |
Business Phone Number: | 8089667154 |
Business Fax Number: | 8089747757 |
Mailing Address: | Po Box 304, KURTISTOWN |
State: | HI |
Postal Code: | 967600304 |
Phone Number: | 8089667154 |
Fax Number: | 8089747757 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 33 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |