# JOHN MASCARO PHD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962156547
- **Authorized official:** JOHN MASCARO PH.D. (PRESIDENT)
- **Authorized official phone:** (808) 226-7576

## Contact information

- **Practice address:** 65-1231 OPELO RD STE 4, KAMUELA, HI 96743-8376
- **Practice address phone:** (808) 226-7576
- **Practice address fax:** (808) 356-0200
- **Mailing address:** PO BOX 384646, WAIKOLOA, HI 96738-4646
- **Mailing address phone:** (808) 226-7576
- **Mailing address fax:** (808) 356-0200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/11/2022
- **Last updated:** 02/11/2022