Provider Demographics
NPI:1487200374
Name:FU, ALICIA (CSAC,MSCP,LMHC,CCMHC)
Entity type:Individual
Prefix:MISS
First Name:ALICIA
Middle Name:
Last Name:FU
Suffix:
Gender:F
Credentials:CSAC,MSCP,LMHC,CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 962
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-0962
Mailing Address - Country:US
Mailing Address - Phone:808-392-3330
Mailing Address - Fax:
Practice Address - Street 1:950 KAMEHAMEHA HWY UNIT 962
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-5042
Practice Address - Country:US
Practice Address - Phone:808-494-1528
Practice Address - Fax:808-210-6095
Is Sole Proprietor?:No
Enumeration Date:2019-08-15
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling