Roel Rollolazo Cacho

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waipahu, HI

NPI 1063147353 · NPPES record last updated Jul 20, 2022

Key facts

NPI
1063147353
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
94-1109 Hapapa Street, Waipahu, Hawaii 96797
Waipahu, HI 96797
Phone
(808) 216-0125
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

94-1109 Hapapa Street, Waipahu, Hawaii 96797
Waipahu, HI 96797

Mailing address

94-1109 Hapapa Street, Waipahu, Hawaii 96797
Waipahu, HI 96797
Phone (808) 216-0125

Other providers in Waipahu, HI

All providers in Waipahu, HI · Addiction (Substance Use Disorder) Counselor in Hawaii

Sources for this page

Verify at the official NPI Registry.