Provider Demographics
NPI:1033509633
Name:WEST COAST COUNSELING SERVICES
Entity Type:Organization
Organization Name:WEST COAST COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MOANA
Authorized Official - Middle Name:KWAI SEN
Authorized Official - Last Name:GASPAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MSCP, BED
Authorized Official - Phone:808-330-6611
Mailing Address - Street 1:86-088 FARRINGTON HWY STE 7
Mailing Address - Street 2:
Mailing Address - City:WAIANAE
Mailing Address - State:HI
Mailing Address - Zip Code:96792-3067
Mailing Address - Country:US
Mailing Address - Phone:808-330-6611
Mailing Address - Fax:808-369-7414
Practice Address - Street 1:91-1213 KANEONEO ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4143
Practice Address - Country:US
Practice Address - Phone:808-330-6611
Practice Address - Fax:808-369-7414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-337101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty