Provider Demographics
NPI:1861634032
Name:HESS, MONIQUE DANIELLE
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:DANIELLE
Last Name:HESS
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 1:4348 WAIALAE AVE
Mailing Address - Street 2:#146
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5767
Mailing Address - Country:US
Mailing Address - Phone:808-638-1236
Mailing Address - Fax:
Practice Address - Street 1:4348 WAIALAE AVE
Practice Address - Street 2:#146
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5767
Practice Address - Country:US
Practice Address - Phone:808-638-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-02
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI323106H00000X
CA51529106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist