Executive and Professional Services LLC

NPI #1972229607 in Kalaheo, Hawaii

Provider Information

NPI Number: 1972229607
Entity Type: Organization
Organization Name: Executive and Professional Services LLC
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Oct 14, 2022
Last Updated: Oct 14, 2022

Practice Location

Address: 4432 PAPALINA RD
City: Kalaheo
State: Hawaii
ZIP Code: 96741
Phone: (808) 652-2684

Authorized Official

Name: VALERIE MELLE
Title: MANAGER
Phone: (808) 652-2684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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