Individual
KRISTINE J CAVANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1787 WILI PA LOOP, WAILUKU, HI 96793-1280
(808) 242-1660
Mailing address
PO BOX 1376, KIHEI, HI 96753-1376
(084) 953-6378
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
195164
—
OR
Enumeration date
07/23/2012
Last updated
10/01/2019
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