Doctor Name: | MOANA GASPAR |
NPI Number: | 1194134395 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSCP,LMHC,NCC |
License Number: | MHC-337 |
Business Practice Address: | 86-088 Farrington Hwy Suite #7 Waianae, HI - 96792 |
Business Phone Number: | 8083306611 |
Business Fax Number: | |
Mailing Address: | 87-1831 Mohihi St, WAIANAE |
State: | HI |
Postal Code: | 96792 |
Phone Number: | 8083306611 |
Fax Number: | |
NPI Enumeration Date: | 08/13/2014 |
NPI Last Update Date: | 08/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MHC-337 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |