Kinimaka, Teri-Ann

Kinimaka, Teri-Ann is an sole proprietor health care provider with primary practice located at 750 Alewa Dr , Honolulu HI 96817-1533. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kinimaka, Teri-Ann can be contacted via phone (808) 392-4813.

Contact Information

Primary practice address
750 Alewa Dr Honolulu HI 96817-1533
Phone: (808) 392-4813
Fax: (808) 590-2328
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCDP-D 110-11 Hawaii
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X SAP - 20478 Hawaii
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CCJP 330-11 Hawaii
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSAC 1687-12 Hawaii
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-3383 Hawaii

Profile Details

NPI number 1316007610
LBN Legal business name Kinimaka, Teri-Ann
Credentials LCSW, CSAC,CCJP, SAP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2006
Last updated Oct 25th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316007610 NPPES
Hawaii MEDICAID 627119

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