Doctor Name: | LOUONA LARKSPUR |
NPI Number: | 1336503655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | 4024 |
Business Practice Address: | Hc 1 Box 5438 Keaau, HI - 967499532 |
Business Phone Number: | 8086404805 |
Business Fax Number: | |
Mailing Address: | Hc 1 Box 5438, KEAAU |
State: | HI |
Postal Code: | 967499532 |
Phone Number: | 8086404805 |
Fax Number: | |
NPI Enumeration Date: | 04/12/2016 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |