Provider Demographics
NPI:1588945828
Name:RAFANELLO, MANDI
Entity type:Individual
Prefix:
First Name:MANDI
Middle Name:
Last Name:RAFANELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MANDI
Other - Middle Name:
Other - Last Name:CURTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:875 WAIMANU ST
Mailing Address - Street 2:SUITE #614
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5248
Mailing Address - Country:US
Mailing Address - Phone:808-791-6714
Mailing Address - Fax:
Practice Address - Street 1:875 WAIMANU ST
Practice Address - Street 2:SUITE #614
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5248
Practice Address - Country:US
Practice Address - Phone:808-791-6714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health