Provider Demographics
NPI:1073359998
Name:OKANEKU, CORTNEY KAZUMI
Entity type:Individual
Prefix:
First Name:CORTNEY
Middle Name:KAZUMI
Last Name:OKANEKU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 POLOHIWA PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1168
Mailing Address - Country:US
Mailing Address - Phone:808-224-6992
Mailing Address - Fax:
Practice Address - Street 1:278 POLOHIWA PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1168
Practice Address - Country:US
Practice Address - Phone:808-224-6992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health