Provider Demographics
NPI:1043795917
Name:MORINAGA-KIM, SHERA LYNN CHIEMI (LMHC, MSCP)
Entity Type:Individual
Prefix:
First Name:SHERA LYNN
Middle Name:CHIEMI
Last Name:MORINAGA-KIM
Suffix:
Gender:F
Credentials:LMHC, MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3627 KILAUEA AVE RM 401
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2317
Mailing Address - Country:US
Mailing Address - Phone:808-733-9393
Mailing Address - Fax:808-733-9377
Practice Address - Street 1:3627 KILAUEA AVE RM 401
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2317
Practice Address - Country:US
Practice Address - Phone:808-733-9393
Practice Address - Fax:808-733-9377
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-397101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health