Provider Demographics
NPI:1346575529
Name:CHUN, AMBER NOVAL (MA)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NOVAL
Last Name:CHUN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:MARIE
Other - Last Name:NOVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3627 KILAUEA AVE RM 1
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2317
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:808-733-9357
Practice Address - Street 1:3627 KILAUEA AVE RM 1
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2317
Practice Address - Country:US
Practice Address - Phone:808-733-9333
Practice Address - Fax:808-733-9357
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC60075255101Y00000X
HI101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor