Provider Demographics
NPI:1184045007
Name:KWAN, CHARMAE K (MSCP, LMHCNCC)
Entity Type:Individual
Prefix:MS
First Name:CHARMAE
Middle Name:K
Last Name:KWAN
Suffix:
Gender:F
Credentials:MSCP, LMHCNCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-037 KAULU ST
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1674
Mailing Address - Country:US
Mailing Address - Phone:808-292-8572
Mailing Address - Fax:180-835-6042
Practice Address - Street 1:122 ONEAWA ST STE 203
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2524
Practice Address - Country:US
Practice Address - Phone:808-292-8572
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-366101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional