Provider Demographics
NPI:1154455640
Name:KALAN, DIANA MARIE (MA, LMHC, LPC)
Entity type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:MARIE
Last Name:KALAN
Suffix:
Gender:F
Credentials:MA, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1447 ONIONI ST
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3760
Mailing Address - Country:US
Mailing Address - Phone:808-451-3960
Mailing Address - Fax:808-451-3961
Practice Address - Street 1:1447 ONIONI ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-3760
Practice Address - Country:US
Practice Address - Phone:808-451-3960
Practice Address - Fax:808-451-3961
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI567101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health