Provider Demographics
NPI:1598005936
Name:FILIPO, LIANE KK (MSCP)
Entity Type:Individual
Prefix:MRS
First Name:LIANE
Middle Name:KK
Last Name:FILIPO
Suffix:
Gender:F
Credentials:MSCP
Other - Prefix:MISS
Other - First Name:LIANE
Other - Middle Name:K
Other - Last Name:KOANUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSCP
Mailing Address - Street 1:420 KEKUPUA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-2309
Mailing Address - Country:US
Mailing Address - Phone:808-342-3353
Mailing Address - Fax:
Practice Address - Street 1:1822 KEEAUMOKU ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-3001
Practice Address - Country:US
Practice Address - Phone:808-521-4357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor