Individual
MR. MATHEW K KANESHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
2403 HONEY LN, NORTH PORT, FL 34286-2407
(808) 276-2758
Mailing address
PO BOX 8164, NORTH PORT, FL 34290-8164
(808) 276-2758
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144468901
—
HI
Enumeration date
01/31/2009
Last updated
01/11/2022
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