Doctor Name: | BERNICE STRAND |
NPI Number: | 1699190223 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW, LAT, CSAC |
License Number: | 1519-10 |
Business Practice Address: | 41-038 Wailea St # A-1 Waimanalo, HI - 967951671 |
Business Phone Number: | 8082650868 |
Business Fax Number: | 8087918343 |
Mailing Address: | 41-038 Wailea St # A-1, WAIMANALO |
State: | HI |
Postal Code: | 967951671 |
Phone Number: | 8082650868 |
Fax Number: | 8087918343 |
NPI Enumeration Date: | 02/18/2014 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 1519-10 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |