| Doctor Name: | DARISSA M.K. KEKUAWELA |
| NPI Number: | 1063765311 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | MHC-273 |
| Business Practice Address: | 101 Aupuni St Ste 118 Hilo, HI - 967204260 |
| Business Phone Number: | 8083453307 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1422, PAHOA |
| State: | HI |
| Postal Code: | 967781422 |
| Phone Number: | 8083453307 |
| Fax Number: | |
| NPI Enumeration Date: | 10/24/2012 |
| NPI Last Update Date: | 10/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MHC-273 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |