Provider Demographics
NPI:1689276222
Name:DOAN, CHRISTINE TC
Entity Type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:TC
Last Name:DOAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1676 ALA MOANA BLVD APT 208
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-1416
Mailing Address - Country:US
Mailing Address - Phone:510-386-3905
Mailing Address - Fax:
Practice Address - Street 1:1676 ALA MOANA BLVD APT 208
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-1416
Practice Address - Country:US
Practice Address - Phone:510-386-3905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-09
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician