Provider Demographics
NPI:1033685102
Name:KOMODA, DALE AKIHIKO (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DALE
Middle Name:AKIHIKO
Last Name:KOMODA
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 WARD AVE APT 605
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-3531
Mailing Address - Country:US
Mailing Address - Phone:808-383-0523
Mailing Address - Fax:
Practice Address - Street 1:1440 WARD AVE APT 605
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3531
Practice Address - Country:US
Practice Address - Phone:808-383-0523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI438101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health