Provider Demographics
NPI:1881050706
Name:HONAN, KIM LYNN (LPC, MFT-A)
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:LYNN
Last Name:HONAN
Suffix:
Gender:F
Credentials:LPC, MFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LAVELLE COURT
Mailing Address - Street 2:ILIULIUK FAMILY HEALTH SERVICES
Mailing Address - City:UNALASKA
Mailing Address - State:AK
Mailing Address - Zip Code:99685-0144
Mailing Address - Country:US
Mailing Address - Phone:907-581-1202
Mailing Address - Fax:907-581-2331
Practice Address - Street 1:34 LAVELLE COURT
Practice Address - Street 2:ILIULIUK FAMILY HEALTH SERVICES
Practice Address - City:UNALASKA
Practice Address - State:AK
Practice Address - Zip Code:99685-0144
Practice Address - Country:US
Practice Address - Phone:907-581-1202
Practice Address - Fax:907-581-2331
Is Sole Proprietor?:No
Enumeration Date:2016-01-07
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK106267101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional