Intentional Life Counseling LLC

NPI #1033819685 in Honolulu, Hawaii

Provider Information

NPI Number: 1033819685
Entity Type: Organization
Organization Name: Intentional Life Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Mar 2, 2023
Last Updated: Jul 28, 2023

Practice Location

Address: 1296 KAPIOLANI BLVD APT 604
City: Honolulu
State: Hawaii
ZIP Code: 96814-2878
Phone: (808) 348-4789

Authorized Official

Name: MRS. MINA N/A CASEY-PANG, LCSW
Title: LICENSED CLINICAL SOCIAL WORKER
Phone: (808) 348-4789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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