Provider Demographics
NPI:1417270414
Name:HANSEN, KAI L (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:KAI
Middle Name:L
Last Name:HANSEN
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 E KAWILI ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-5075
Mailing Address - Country:US
Mailing Address - Phone:808-936-7909
Mailing Address - Fax:
Practice Address - Street 1:399 E KAWILI ST STE 203
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5075
Practice Address - Country:US
Practice Address - Phone:808-936-7909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIMFT-425OtherMFT