Organization
TIFFANY TANAKA, MFT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TANAKA MFT (OWNER)
(808) 372-8875
Entity
Organization
Contact information
Practice address
2176 LAUWILIWILI ST STE 1, KAPOLEI, HI 96707-1882
(808) 372-8875
(808) 200-4955
Mailing address
2176 LAUWILIWILI ST STE 1, KAPOLEI, HI 96707-1882
(808) 372-8875
(808) 200-4955
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743402
—
HI
Enumeration date
02/01/2023
Last updated
02/01/2023
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