Provider Demographics
NPI:1174867519
Name:MIKI-O'DONOVAN, SATOKO (LMHC)
Entity type:Individual
Prefix:MS
First Name:SATOKO
Middle Name:
Last Name:MIKI-O'DONOVAN
Suffix:
Gender:
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 AEWA PL STE 7
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8882
Mailing Address - Country:US
Mailing Address - Phone:808-276-2092
Mailing Address - Fax:
Practice Address - Street 1:7 AEWA PL STE 7
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-8882
Practice Address - Country:US
Practice Address - Phone:808-276-2092
Practice Address - Fax:808-204-9972
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI29101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health