Provider Demographics
NPI:1720290075
Name:YANO, SETSUKO (M A)
Entity Type:Individual
Prefix:MS
First Name:SETSUKO
Middle Name:
Last Name:YANO
Suffix:
Gender:F
Credentials:M A
Other - Prefix:
Other - First Name:SETSUKO
Other - Middle Name:
Other - Last Name:YANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:2714 KAHOALOHA LN PH 8
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-3331
Mailing Address - Country:US
Mailing Address - Phone:808-744-7655
Mailing Address - Fax:
Practice Address - Street 1:1215 CENTER ST STE 203
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3209
Practice Address - Country:US
Practice Address - Phone:808-744-7655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2014-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 43818106H00000X
HIMFT245106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist