Healthcare Provider Details

I. General information

NPI: 1306257712
Provider Name (Legal Business Name): CIARA M KAWANO MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CIARA M RODRIGUES MS, LMHC

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 06/08/2022
Certification Date: 06/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 BISHOP STREET, SUITE 1411
HONOLULU HI
96813
US

IV. Provider business mailing address

PO BOX 880823
PUKALANI HI
96788-0823
US

V. Phone/Fax

Practice location:
  • Phone: 808-298-5303
  • Fax:
Mailing address:
  • Phone: 808-298-5303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC-498
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: