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A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Behavior Analyst |
103K00000X | |||
Community/Behavioral Health |
251S00000X | |||
Early Intervention Provider Agency |
252Y00000X | |||
Mental Health |
101YM0800X | |||
Pastoral |
101YP1600X | |||
Professional |
101YP2500X |
| NPI Number | 1922408020 |
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| LBN Legal business name | KOKUA SUPPORT SERVICES | ||||
| Authorized official | TRISTYN HAXTON - (PRESIDENT) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 08/26/2014 | ||||
| Last updated | 10/02/2014 - About 12 years ago | ||||
| Identifiers |
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KOKUA SUPPORT SERVICES
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| RANDY J JENSEN, MSN 1301 PUNCHBOWL ST. HONOLULU, HI |
| SABRINA PHELPS 615 PIIKOI ST. HONOLULU, HI |
| SHANNA FRYE 615 PIIKOI ST. HONOLULU, HI |
| MARGARET SPENCER 210 WARD AVENUE SUITE 219B HONOLULU, HI |
| JUMANNE WASHINGTON 615 PIIKOI ST. HONOLULU, HI |
| COMMUNITY MENTAL HEALTH CENTER CLUBHOUSE-DIAMOND HEAD 3627 KILAUEA AVE HONOLULU, HI |
| CHELSEA N NEELY 203 KAPAA QUARRY PLAZA KAILUA, HI |
| CHRISTLE KAMAKAALA MFT LLC 46-022 ALALOA ST KANEOHE, HI |
| MERISSA D MEDLING 11-3036 PLUMERIA ST MOUNTAIN VIEW, HI |
| NAOMI R TSUNEYOSHI, MC MENTAL HEALTH COU 4370 KUKUI GROVE STREET LIHU?E, HI |
KOKUA SUPPORT SERVICES