Whalio Doctors

NPI 1427372812

Kelly Renae Sukola, MAIMFT

Practitioner Marriage & Family Therapist Tamuning, GU

Practice location

Address
267 S. Marine Corps Drive Suite 2d, Tamuning, GU 96913
Phone
(671) 646-7972
Fax
(671) 647-7972

Registered specialties

Marriage & Family Therapist Primary
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence IMF74 (GU)

Registry record

NPI
1427372812
Entity type
Individual
Sex (as registered)
Female
NPI issued
15 Mar 2010
Record last updated
15 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.