Provider Demographics
NPI:1174944870
Name:JONES, KATHERINA YEN (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:KATHERINA
Middle Name:YEN
Last Name:JONES
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:KATHERINA
Other - Middle Name:YEN
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, NCC
Mailing Address - Street 1:92-933 WELO STREET
Mailing Address - Street 2:APT. #67
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-3702
Mailing Address - Country:US
Mailing Address - Phone:808-554-1405
Mailing Address - Fax:855-156-3455
Practice Address - Street 1:1888 KALAKAUA AVE
Practice Address - Street 2:SUITE C312
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1550
Practice Address - Country:US
Practice Address - Phone:808-554-1405
Practice Address - Fax:855-756-3455
Is Sole Proprietor?:No
Enumeration Date:2013-12-23
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-430103TC1900X
HI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling