Deza-rae Desa is a Peer Specialist based in Honolulu, HI. Deza-rae Desa practices in Honolulu, HI. The NPI Number for Deza-rae Desa is 1487397014 and holds a License No. (Hawaii).
The current practice location address for Deza-rae Desa is 1130 N Nimitz Hwy Rm C210, Honolulu, HI and can be reached out via phone at 808-838-7752.
Location: 1130 N Nimitz Hwy Rm C210, Honolulu, HI, 96817-6514
Provider Profile Details
NPI Number
1487397014
Provider Name
Deza-rae Desa
Credential
Provider Entity Type
Individual
Gender
Female
Address
1130 N Nimitz Hwy Rm C210, Honolulu, HI, 96817-6514
Phone Number
808-838-7752
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1130 N Nimitz Hwy Rm C210
City
State
Zip
96817-6514
Phone Number
808-838-7752
Fax Number
Provider Business Mailing Address Details
Address
1130 N Nimitz Hwy Rm C210
City
State
Zip
96817-6514
Phone Number
808-838-7752
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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