Provider Demographics
NPI:1457069577
Name:DUDOIT, CHARITY (LMFT)
Entity Type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:DUDOIT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHARITY
Other - Middle Name:L
Other - Last Name:DUDOIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:PO BOX 2040
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-2040
Mailing Address - Country:US
Mailing Address - Phone:808-553-5038
Mailing Address - Fax:
Practice Address - Street 1:30 OKI PLACE
Practice Address - Street 2:
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748
Practice Address - Country:US
Practice Address - Phone:808-553-5038
Practice Address - Fax:808-553-5437
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-08
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMFT803106H00000X
HIMFT-803106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty