Doctor Name: | MRS. SATOKO MIKI-O'DONOVAN |
NPI Number: | 1174867519 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 29 |
Business Practice Address: | 135 S Wakea Ave Suite 208 Kahului, HI - 967321385 |
Business Phone Number: | 8082762092 |
Business Fax Number: | 8082429398 |
Mailing Address: | 32 Poniu Cir, WAILUKU |
State: | HI |
Postal Code: | 967932909 |
Phone Number: | 8082429398 |
Fax Number: | 8082429398 |
NPI Enumeration Date: | 11/26/2012 |
NPI Last Update Date: | 04/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 29 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |