Provider Demographics
NPI:1093179673
Name:OKIMURA, ROBERT JR (LMFT)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:OKIMURA
Suffix:JR
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3354 E MANOA RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1330
Mailing Address - Country:US
Mailing Address - Phone:808-721-5804
Mailing Address - Fax:808-988-9375
Practice Address - Street 1:2080 S KING ST STE 205
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2226
Practice Address - Country:US
Practice Address - Phone:808-721-5804
Practice Address - Fax:808-988-9375
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-08
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT466106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist