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Organization

CHILD AND FAMILY SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KAREN C TAN LCSW (VICE PRESIDENT OF PROGRAMS)
(808) 681-1460
Entity
Organization

Contact information

Practice address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-3500
(808) 681-5280
Mailing address
91-1841 FORT WEAVER RD, EWA BEACH, HI 96706-1909
(808) 681-3500
(808) 681-5280

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
3676
HI
101YA0400X
Addiction (Substance Use Disorder) Counselor
3676
HI
101YM0800X
Mental Health Counselor
Primary
3676
HI
103T00000X
Psychologist
153
HI
103TB0200X
Cognitive & Behavioral Psychologist
153
HI
103TC0700X
Clinical Psychologist
153
HI
103TC1900X
Counseling Psychologist
153
HI
103TC2200X
Clinical Child & Adolescent Psychologist
153
HI
103TF0000X
Family Psychologist
153
HI
103TP2701X
Group Psychotherapy Psychologist
153
HI
104100000X
Social Worker
3676
HI
1041C0700X
Clinical Social Worker
3676
HI
1041S0200X
School Social Worker
3676
HI
106H00000X
Marriage & Family Therapist
3676
HI

Other

Enumeration date
02/06/2013
Last updated
05/08/2014
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