Provider Demographics
NPI:1144768953
Name:MATTHEWS, MARTIN E (LMHC)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:E
Last Name:MATTHEWS
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:PO BOX 3378
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96801-3378
Mailing Address - Country:US
Mailing Address - Phone:808-590-7320
Mailing Address - Fax:808-586-4745
Practice Address - Street 1:45-710 KEAAHALA ROAD
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3597
Practice Address - Country:US
Practice Address - Phone:808-284-6319
Practice Address - Fax:808-236-8590
Is Sole Proprietor?:No
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-193101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor