Provider Demographics
NPI:1689097453
Name:NAGASAKA, STEVEN I (MA, LMFT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:NAGASAKA
Suffix:I
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:334 LIHOLIHO ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-2510
Mailing Address - Country:US
Mailing Address - Phone:808-986-8350
Mailing Address - Fax:
Practice Address - Street 1:1916 E VINEYARD ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1715
Practice Address - Country:US
Practice Address - Phone:808-249-2431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT 365106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist