Organization
KOAN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN WATANABE CCM, MFT (PROGRAM MANAGER)
(808) 469-4505
Entity
Organization
Contact information
Practice address
1580 MAKALOA ST, SUITE 550, HONOLULU, HI 96814-3237
(808) 469-4505
(808) 356-1645
Mailing address
1580 MAKALOA ST, SUITE 550, HONOLULU, HI 96814-3237
(808) 469-4505
(808) 356-1645
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
MFT 242
HI
251S00000X
Community/Behavioral Health Agency
MFT 242
HI
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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