Isabella Dearaujo

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

NPI 1710503263 · NPPES record last updated Jun 21, 2020

Key facts

NPI
1710503263
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
56-660 Kamehameha Hwy
Kahuku, HI 96731-2210
Phone
(808) 393-7555
NPI assigned
Jun 21, 2020
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

56-660 Kamehameha Hwy
Kahuku, HI 96731-2210

Mailing address

56-660 Kamehameha Hwy
Kahuku, HI 96731-2210

Other providers in Kahuku, HI

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

Sources for this page

Verify at the official NPI Registry.