Individual
LISA KT JICHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CSAC
Contact information
Practice address
100 KAHELU AVE STE 232, MILILANI, HI 96789-3962
(808) 625-7448
Mailing address
PO BOX 893542, MILILANI, HI 96789-0542
(808) 783-7860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3246
HI
Other
Enumeration date
04/18/2008
Last updated
01/04/2026
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