Provider Demographics
NPI:1174022602
Name:HUFANGA, CLARINDA JOY (LMFT)
Entity Type:Individual
Prefix:
First Name:CLARINDA
Middle Name:JOY
Last Name:HUFANGA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CLARINDA
Other - Middle Name:
Other - Last Name:SANTIAGO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:614 KILAUEA AVE STE 15
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4272
Mailing Address - Country:US
Mailing Address - Phone:808-464-0275
Mailing Address - Fax:
Practice Address - Street 1:614 KILAUEA AVE STE 27
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4253
Practice Address - Country:US
Practice Address - Phone:808-464-0275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-10
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-790106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist