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Sundara Amber Lotus Fitz-Gerald, LMFT

Marriage & Family Therapist in Kailua Kona, HI. Individual provider (NPI-1).

NPI number1114272002
StatusActive
Last updated in NPPESJan 27, 2016

Details

NPI
1114272002
Entity type
Individual (NPI-1)
Name
Mrs. Sundara Amber Lotus Fitz-Gerald
Credential
LMFT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 17, 2012
Last updated
Jan 27, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistLMFT- 464HIYes

Practice location

75-5744 Alii Dr Ste 237
Kailua Kona, HI 96740-1740

Phone 808-329-5800

Mailing address

Po Box 2935
Kailua Kona, HI 96745-2935

Phone 808-990-4605

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