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Dr. Tracey Wise
Mental Health Counselor in Pepeekeo, Hawaii
NPI 1992421705

Tracey Wise is a Mental Health Counselor based in Pepeekeo, HI and is specialized in Mental Health. Tracey Wise practices in Pepeekeo, HI. The NPI Number for Tracey Wise is 1992421705 and holds a License No. 1414-08 (Hawaii).

The current practice location address for Tracey Wise is 28-2890 Kapehu Place, Pepeekeo, HI and can be reached out via phone at 808-895-2593.

Location: 28-2890 Kapehu Place, Pepeekeo, HI, 96783-1022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992421705
Provider Name
Tracey Wise
Credential
Provider Entity Type
Individual
Gender
Female
Address
28-2890 Kapehu Place, Pepeekeo, HI, 96783-1022
Phone Number
808-895-2593
Fax Number
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28-2890 Kapehu Place
City
Pepeekeo
State
Hawaii
Zip
96783
Phone Number
808-895-2593
Fax Number
person
Provider Business Mailing Address Details
Address
28-2890 Kapehu Place
City
Pepeekeo
State
Hawaii
Zip
96783
Phone Number
808-895-2593
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
MHC-253 (Hawaii)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1414-08 (Hawaii)
Definition
Definition to come...
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