Pagulayan, Kristen
Pagulayan, Kristen is an sole proprietor health care provider with primary practice located at 95-390 Kuahelani Ave # 3Ac-1099, Mililani HI 96789-1192. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pagulayan, Kristen can be contacted via phone (860) 559-0929.Contact Information
Primary practice address
95-390 Kuahelani Ave # 3Ac-1099
Mililani HI 96789-1192
Phone: (860) 559-0929
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW005444 | Georgia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 11184 | South Carolina |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 008056 | Connecticut |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4390 | Hawaii |
Profile Details
| NPI number | 1407108095 |
|---|---|
| LBN Legal business name | Pagulayan, Kristen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 8th, 2012 |
| Last updated | Mar 20th, 2022 - about 4 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 | 1407108095 | NPPES |
| South Carolina | MEDICAID | Q529070281 |
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