Provider Demographics
NPI:1730938051
Name:ALETHEA, ALICIA CHANTEL (LMFT)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:CHANTEL
Last Name:ALETHEA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:MARSHALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:41-875 KAKAINA ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-2206
Mailing Address - Country:US
Mailing Address - Phone:808-206-4649
Mailing Address - Fax:
Practice Address - Street 1:41-875 KAKAINA ST UNIT A
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-2206
Practice Address - Country:US
Practice Address - Phone:808-206-4649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI882106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist