Provider Demographics
NPI:1386002921
Name:HARPER, KRISTA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:
Last Name:HARPER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:PALMGREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:70 LORANGE PL
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1983
Mailing Address - Country:US
Mailing Address - Phone:808-859-0596
Mailing Address - Fax:
Practice Address - Street 1:70 LORANGE PL
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1983
Practice Address - Country:US
Practice Address - Phone:808-859-0596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-09
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI456106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist