Provider Demographics
NPI:1639416910
Name:TRESKY, SHARI (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:
Last Name:TRESKY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 173
Mailing Address - Street 2:
Mailing Address - City:HAKALAU
Mailing Address - State:HI
Mailing Address - Zip Code:96710-0173
Mailing Address - Country:US
Mailing Address - Phone:808-896-4121
Mailing Address - Fax:
Practice Address - Street 1:120 KEAWE ST
Practice Address - Street 2:STE 203B
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2874
Practice Address - Country:US
Practice Address - Phone:808-896-4121
Practice Address - Fax:808-963-6016
Is Sole Proprietor?:No
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health