Individual
MRS. TAMI KEAKAOKALANI MOIKEHA YASUTAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT-256
Contact information
Practice address
4-885 KUHIO HWY # A-1, KAPAA, HI 96746-2702
(808) 937-0512
(808) 822-5454
Mailing address
571 KAMALU RD, KAPAA, HI 96746-9618
(808) 937-0512
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
256
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000321034
HMSA
HI
05
—
734542
—
HI
01
—
IN PROCESS
KAISER
HI
Enumeration date
09/30/2008
Last updated
04/16/2015
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