Provider Demographics
NPI:1700131208
Name:SAKAMOTO, KRISTI ANN (MSCP, LMHC, NCC)
Entity Type:Individual
Prefix:MS
First Name:KRISTI
Middle Name:ANN
Last Name:SAKAMOTO
Suffix:
Gender:F
Credentials:MSCP, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-030 HEKAHA ST
Mailing Address - Street 2:BLDG. 7, UNIT #3
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4916
Mailing Address - Country:US
Mailing Address - Phone:808-391-2647
Mailing Address - Fax:
Practice Address - Street 1:98-030 HEKAHA ST
Practice Address - Street 2:BLDG. 7, UNIT #3
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4916
Practice Address - Country:US
Practice Address - Phone:808-391-2647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILMHC 125101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health