Individual provider · Type 1 NPI

Kelly K. Chan

Counselor · Ewa Beach, HI

NPI number 1063292928 Active

Practice location

91-2128 Old Ft Weaver Rd
Ewa Beach, HI 96706-1911

Fax (808) 589-2610

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1063292928

Kelly K. Chan's National Provider Identifier is 1063292928, issued on Sep 29, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Ewa Beach, HI. The record was last updated on Sep 29, 2023.