Provider Demographics
NPI:1144805664
Name:FAUNA, HAASHUA KUPONO (MHW)
Entity type:Individual
Prefix:
First Name:HAASHUA
Middle Name:KUPONO
Last Name:FAUNA
Suffix:
Gender:M
Credentials:MHW
Other - Prefix:
Other - First Name:MADELEINE
Other - Middle Name:MALIA
Other - Last Name:HAAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:QMHA
Mailing Address - Street 1:1449 PUNCHBOWL ST APT 2
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2001
Mailing Address - Country:US
Mailing Address - Phone:808-600-4824
Mailing Address - Fax:808-791-6736
Practice Address - Street 1:45-710 KEAAHALA RD
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3528
Practice Address - Country:US
Practice Address - Phone:808-533-3936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2025-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health