Provider Demographics
NPI:1306257712
Name:KAWANO, CIARA M (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:M
Last Name:KAWANO
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:MS
Other - First Name:CIARA
Other - Middle Name:M
Other - Last Name:RODRIGUES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:PO BOX 880823
Mailing Address - Street 2:
Mailing Address - City:PUKALANI
Mailing Address - State:HI
Mailing Address - Zip Code:96788-0823
Mailing Address - Country:US
Mailing Address - Phone:808-298-5303
Mailing Address - Fax:
Practice Address - Street 1:1811 BISHOP STREET, SUITE 1411
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-298-5303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-20
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM0855X
HIMHC-498101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health