Provider Demographics
NPI:1770223539
Name:MAALEA, MICHELE CHANTAL (COUNSELOR)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:CHANTAL
Last Name:MAALEA
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:CHANTAL
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1931 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-9718
Mailing Address - Country:US
Mailing Address - Phone:808-579-8414
Mailing Address - Fax:888-253-6452
Practice Address - Street 1:1931 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-9718
Practice Address - Country:US
Practice Address - Phone:808-579-8414
Practice Address - Fax:888-253-6452
Is Sole Proprietor?:No
Enumeration Date:2022-03-30
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor