Judith Marie Ekstrom, LMHC
Individual provider Active NPI Mental Health Counselor · Pahoa, HI
NPI 1629416581 · NPPES record last updated Jun 12, 2013
Key facts
- NPI
- 1629416581
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 299 (HI)
- Practice address
- 15-3039 Pahoa Village Rd
Pahoa, HI 96778-9998 - Phone
- (808) 987-4321
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299 | HI | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 299 | HI | Yes |
Addresses
Primary practice location
15-3039 Pahoa Village Rd
Pahoa, HI 96778-9998
Mailing address
HC 2 Box 6410
Keaau, HI 96749-9305
Phone (808) 987-4321
Other names
- Judith Marie Spain
Other providers in Pahoa, HI
- Marion Droe
- Christine Kukui Dufrayer
- Courtney Dusschee
- E Malama Kakou Family Practice
- East Hawaii Midwife Service
- Scott Andrew Erickson
- Erin Axton Ryggs, LCSW LLC
- Deidre Temukisa Esteron
- Roxanne C Estes
- Apryl Danielle Evans
All providers in Pahoa, HI · Mental Health Counselor in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.