Provider Demographics
NPI:1952836538
Name:KADOOKA, ADRIENNE (PSYD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:
Last Name:KADOOKA
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1221
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-1221
Mailing Address - Country:US
Mailing Address - Phone:808-201-4208
Mailing Address - Fax:
Practice Address - Street 1:45-270 WILLIAM HENRY RD STE 207
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-5808
Practice Address - Country:US
Practice Address - Phone:808-201-4208
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X
HIMHC-892101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171400000XOther Service ProvidersHealth & Wellness Coach