Provider Demographics
NPI:1861836041
Name:KAWAAUHAU, DONNELLE KALANI
Entity Type:Individual
Prefix:MISS
First Name:DONNELLE
Middle Name:KALANI
Last Name:KAWAAUHAU
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:HC 3 BOX 13502
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-9210
Mailing Address - Country:US
Mailing Address - Phone:808-345-9955
Mailing Address - Fax:
Practice Address - Street 1:HC 3 BOX 13502
Practice Address - Street 2:
Practice Address - City:KEAAU
Practice Address - State:HI
Practice Address - Zip Code:96749-9210
Practice Address - Country:US
Practice Address - Phone:808-345-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor