Individual
DR. CHRISTINE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LMHC, NCC, CMP
Contact information
Practice address
46-1016 EMEPELA WAY #22C, KANEOHE, HI 96744-3908
(808) 541-7536
Mailing address
PO BOX 1312, KEAAU, HI 96749-1312
(808) 989-6905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
282
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002080
—
HI
Enumeration date
03/23/2015
Last updated
04/03/2024
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