Provider Demographics
NPI:1922377100
Name:KAAIHUE, JOACHIN (MFT, MS)
Entity Type:Individual
Prefix:MR
First Name:JOACHIN
Middle Name:
Last Name:KAAIHUE
Suffix:
Gender:M
Credentials:MFT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57-120 LALO KUILIMA WAY
Mailing Address - Street 2:APT 13
Mailing Address - City:KAHUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96731-2123
Mailing Address - Country:US
Mailing Address - Phone:808-542-4557
Mailing Address - Fax:
Practice Address - Street 1:54-316 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:HAUULA
Practice Address - State:HI
Practice Address - Zip Code:96717-9539
Practice Address - Country:US
Practice Address - Phone:808-293-9216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT-229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist