Provider Demographics
NPI:1538676648
Name:THRONAS, VANESSA BLESS
Entity Type:Individual
Prefix:
First Name:VANESSA BLESS
Middle Name:
Last Name:THRONAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4-1579 KUHIO HWY STE 201A
Mailing Address - Street 2:
Mailing Address - City:KAPAA
Mailing Address - State:HI
Mailing Address - Zip Code:96746-1828
Mailing Address - Country:US
Mailing Address - Phone:808-821-0574
Mailing Address - Fax:
Practice Address - Street 1:4-1579 KUHIO HWY STE 201A
Practice Address - Street 2:
Practice Address - City:KAPAA
Practice Address - State:HI
Practice Address - Zip Code:96746-1828
Practice Address - Country:US
Practice Address - Phone:808-821-0574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician