Provider Demographics
NPI:1598136426
Name:ASANO-BEEM, LISA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:ASANO-BEEM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:ASANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1224 ALA KAPUNA ST
Mailing Address - Street 2:APT 109
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4626
Mailing Address - Country:US
Mailing Address - Phone:808-294-9352
Mailing Address - Fax:
Practice Address - Street 1:1224 ALA KAPUNA ST
Practice Address - Street 2:APT 109
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4626
Practice Address - Country:US
Practice Address - Phone:808-294-9352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor