Provider Demographics
NPI:1528220373
Name:CANEDA, REBECCA ANN (LMFT, LMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:CANEDA
Suffix:
Gender:F
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 ULUNIU ST STE 207
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2523
Mailing Address - Country:US
Mailing Address - Phone:808-387-4325
Mailing Address - Fax:
Practice Address - Street 1:315 ULUNIU ST STE 207
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2523
Practice Address - Country:US
Practice Address - Phone:808-387-4325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI108101YM0800X
HI392106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health