Provider Demographics
NPI:1124279906
Name:GUITERAS-DUNCAN, KRISTA L (LCSW)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:L
Last Name:GUITERAS-DUNCAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1115 KEALIIAHONUI ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4115
Mailing Address - Country:US
Mailing Address - Phone:808-384-1192
Mailing Address - Fax:
Practice Address - Street 1:91-1115 KEALIIAHONUI ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4115
Practice Address - Country:US
Practice Address - Phone:808-384-1192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW43751041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical