MEDICARE: MONICA KAPUANANI SEGUANCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1447057757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA KAPUANANI SEGUANCIA

Provider Business Mailing Address
First Line	:	3292 PINAO ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-1157
Country	:	US
Telephone Number	:	808-927-0910
Fax Number	:

Provider Business Practice Location Address
First Line	:	3292 PINAO ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96822-1157
Country	:	US
Telephone Number	:	808-927-0910
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	02/26/2025

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