CAROLYN NICOLE BLUM


Address: 4132 Keanu St., #2, Honolulu, HI 96816-5580
Phone: 6093512983

CAROLYN NICOLE BLUM (NPI# 1639485204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639485204
Entity Type Individual
Full Name CAROLYN NICOLE BLUM
Practice Address 4132 Keanu St.
#2
Honolulu
HI 96816-5580
Mailing Address 4132 Keanu St
#2
Honolulu
HI 96816-5580
Practice Telephone 6093512983
Mailing Telephone 6093512983
Enumeration Date 2010-08-20
Last Update Date 2010-08-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
1170471 NY Behavioral Health & Social Service Providers

Office Location

Street Address 4132 KEANU ST.
#2
City HONOLULU
State HI
Zip Code 96816-5580

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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992251193 Taryn Napoleon Counselor 3440 Leahi Ave, Honolulu, HI 96815-4235 2016-08-28
1659919868 Claudia Mckeever Counselor 1330 Ala Moana Blvd Ste 1, Honolulu, HI 96814-4262 2019-12-18
1457503716 James Bernard Dunkle Counselor 1301 Punchbowl St, Honolulu, HI 96813-2402 2008-10-17
1386896637 Suzan Danforth Counselor 1301 Punchbowl St, Honolulu, HI 96813-2402 2008-10-17
1669624920 Marsha Louise Marcinowski Counselor 1301 Punchbowl St, Honolulu, HI 96813-2402 2008-10-17

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NPI Name Taxonomy Address Enumeration
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1407211345 Brendan Moore Counselor 234 Waianuenue Ave Ste 215, Hilo, HI 96720-2418 2015-12-18
1821401209 Deborah Alipio Counselor 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 2014-06-03
1174836654 Lennie Long Counselor 2501 Waimano Home Rd, Pearl City, HI 96782-1478 2010-07-26
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1265684013 Franklin Dumlao Counselor 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 2008-10-10
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Competitor

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City HONOLULU
Zip Code 96816

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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