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:
Health care specialties
Specialty | Code | License # | 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 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417042227 | NPPES |
Hawaii | MEDICAID | A02141262 |
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