Provider Demographics
NPI:1639787666
Name:FLORES, CHRISTOPHER VINCENT (LSW)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:VINCENT
Last Name:FLORES
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1345 S BERETANIA STREET
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814
Mailing Address - Country:US
Mailing Address - Phone:808-533-3936
Mailing Address - Fax:
Practice Address - Street 1:1345 S BERETANIA STREET
Practice Address - Street 2:SUITE 301
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-533-3936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health