Healthcare Provider Details

I. General information

NPI: 1467366948
Provider Name (Legal Business Name): CHRISTOPHER BRIAN ADOLF MACP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1221 KAPIOLANI BLVD PH 50
HONOLULU HI
96814-3518
US

IV. Provider business mailing address

91-1139 OLOWA ST
EWA BEACH HI
96706-5608
US

V. Phone/Fax

Practice location:
  • Phone: 808-260-9893
  • Fax: 808-748-0433
Mailing address:
  • Phone: 808-260-9893
  • Fax: 808-748-0433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCP-99-0
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: