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Kelen C Moana

Counselor in Waipahu, HI. Individual provider (NPI-1).

NPI number1760613459
StatusActive
Last updated in NPPESFeb 11, 2020

Details

NPI
1760613459
Entity type
Individual (NPI-1)
Name
Kelen C Moana
Sex
Female
Sole proprietor
No
Enumeration date
Jul 29, 2009
Certification date
Feb 11, 2020
Last updated
Feb 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X CounselorMHC - 330HIYes

Practice location

94-210 Pupukahi St Ste 207
Waipahu, HI 96797-2649

Phone 808-554-1163 · Fax 808-681-1486

Mailing address

Po Box 325
Waianae, HI 96792-0325

Phone 808-554-1163

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