Provider Demographics
NPI:1609494442
Name:DELORENZO, JOSEPH (LMHC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:DELORENZO
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 MANAWAI ST APT 706
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-4604
Mailing Address - Country:US
Mailing Address - Phone:808-762-1170
Mailing Address - Fax:
Practice Address - Street 1:458 MANAWAI ST APT 805
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-4604
Practice Address - Country:US
Practice Address - Phone:808-762-7352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-08
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MHC-695101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health