Kondo, Glenn A

Kondo, Glenn A is an sole proprietor health care provider with primary practice located at 688 Kinoole St Ste 119B, Hilo HI 96720. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Kondo, Glenn A can be contacted via phone (808) 935-5687.

Contact Information

Primary practice address
688 Kinoole St Ste 119B Hilo HI 96720
Phone: (808) 935-5687
Fax: (808) 935-8873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 90193 Hawaii
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW3070 Hawaii

Profile Details

NPI number 1417042227
LBN Legal business name Kondo, Glenn A
Credentials DCSW LCSW CSAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated May 5th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417042227 NPPES
Hawaii MEDICAID A02141262

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