Provider Demographics
NPI:1508014333
Name:MUKTARIAN, JOYCE M (MA -COUNSELING PSYCH)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:M
Last Name:MUKTARIAN
Suffix:
Gender:F
Credentials:MA -COUNSELING PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:91-1841 FORT WEAVER RD
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-1909
Mailing Address - Country:US
Mailing Address - Phone:808-681-3500
Mailing Address - Fax:808-681-1486
Practice Address - Street 1:460 KILAUEA AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-3010
Practice Address - Country:US
Practice Address - Phone:808-935-2188
Practice Address - Fax:808-961-2073
Is Sole Proprietor?:No
Enumeration Date:2008-09-04
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health