Provider Demographics
NPI:1972963312
Name:CABILAN, VANESSA (LMHC)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:CABILAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98-282 KAONOHI ST APT 207
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-2323
Mailing Address - Country:US
Mailing Address - Phone:808-489-2623
Mailing Address - Fax:
Practice Address - Street 1:98-282 KAONOHI ST APT 207
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-2323
Practice Address - Country:US
Practice Address - Phone:808-489-2623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-27
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-996101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health