Organization
KRISTI TANAKA LLC
Active
Parent organization
KRISTI TANAKA LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KRISTI TANAKA LLC
Authorized official
DR. KRISTI TANAKA PSYD, LCSW (OWNER)
(808) 374-0094
Entity
Organization
Contact information
Practice address
45-270 WILLIAM HENRY RD STE 207, KANEOHE, HI 96744-5808
(808) 379-3031
Mailing address
21739 HARDY OAK BLVD APT 6307, SAN ANTONIO, TX 78258-2381
(808) 220-8044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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