Provider Demographics
NPI:1760017974
Name:CHOE, MICHELLE KY (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:KY
Last Name:CHOE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:MICHELLE
Other - Middle Name:KY
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1508 OILI LOOP
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5625
Mailing Address - Country:US
Mailing Address - Phone:808-741-8329
Mailing Address - Fax:
Practice Address - Street 1:1508 OILI LOOP
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5625
Practice Address - Country:US
Practice Address - Phone:808-741-8329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-08
Last Update Date:2020-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-390106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist