Provider Demographics
NPI:1407256951
Name:HONEKER, DIANA BUSSING (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:BUSSING
Last Name:HONEKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-803 LEIALII ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2749
Mailing Address - Country:US
Mailing Address - Phone:808-294-1828
Mailing Address - Fax:
Practice Address - Street 1:98-211 PALI MOMI ST STE 803
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4380
Practice Address - Country:US
Practice Address - Phone:808-294-1828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-524106H00000X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist