Crown Vision Creation Group Int'l INC

NPI #1811471865 in Hilo, Hawaii

Provider Information

NPI Number: 1811471865
Entity Type: Organization
Organization Name: Crown Vision Creation Group Int'l INC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 15, 2018
Last Updated: Sep 15, 2018

Practice Location

Address: 187 HALAI ST
City: Hilo
State: Hawaii
ZIP Code: 96720-2023
Phone: (808) 852-2338

Authorized Official

Name: JACQUELINE C VAN LOON, MA
Title: DIRECTOR
Phone: (808) 852-2338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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